Balloon Mitral Valvotomy (BMV / PTMC) in Shalimar Bagh, Delhi
Balloon Mitral Valvotomy (also known as Percutaneous Transvenous Mitral Commissurotomy – PTMC or Balloon Mitral Valvuloplasty) is a minimally invasive procedure used to treat severe Mitral Stenosis — a condition in which the mitral valve becomes narrowed, usually due to rheumatic heart disease.
At Fortis Hospital, Shalimar Bagh, Dr. Nityanand Tripathi, Principal Director & HOD – Cardiology & Electrophysiology, performs Balloon Mitral Valvotomy with high procedural success and excellent long-term outcomes.
What is Balloon Mitral Valvotomy?
Balloon Mitral Valvotomy is a catheter-based procedure in which a special balloon is inflated across the narrowed mitral valve to split the fused commissures and improve the opening of the valve. It avoids open-heart surgery in suitable patients.
The procedure is performed through a vein in the leg (usually the femoral vein). A balloon catheter is advanced into the heart, positioned across the mitral valve, and inflated to widen the valve opening.
Who Needs Balloon Mitral Valvotomy?
BMV is usually recommended in patients with:
- Severe Mitral Stenosis (valve area usually ≤ 1.5 cm²)
- Suitable valve morphology (favourable Wilkins score)
- Significant symptoms such as breathlessness, fatigue, or reduced exercise capacity
- History of rheumatic heart disease
- Selected asymptomatic patients with very severe stenosis or pulmonary hypertension
- Patients who are high risk for open-heart surgery
Benefits of Balloon Mitral Valvotomy
- Minimally invasive (no open-heart surgery)
- Shorter hospital stay
- Faster recovery compared to surgical valve replacement
- Significant improvement in symptoms and quality of life
- Preserves the patient’s own valve
- Can be repeated if required in future
How is the Procedure Performed?
Balloon Mitral Valvotomy is performed in a cardiac catheterization laboratory under local anesthesia and mild sedation. A thin catheter is inserted through a vein in the groin and advanced to the heart. Using X-ray and echocardiographic guidance, a balloon is positioned across the mitral valve and inflated to open the narrowed valve. The entire procedure usually takes 1–2 hours.
Why Choose Dr. Nityanand Tripathi for BMV in Delhi?
Dr. Nityanand Tripathi is a highly experienced interventional cardiologist with 31+ years of expertise. As the Principal Director & HOD of Cardiology & Electrophysiology at Fortis Hospital Shalimar Bagh, he offers:
- Extensive experience in Balloon Mitral Valvotomy (PTMC)
- Expertise in complex structural heart interventions
- Comprehensive evaluation of mitral valve disease
- Patient-centric approach with detailed counseling
- Advanced cardiac facilities at Fortis Hospital Shalimar Bagh