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La perforation de la valve pulmonaire est une procédure de sauvetage de cardiologie invasive qui consiste à perforer la valve pulmonaire pour permettre un débit cardiaque viable. Elle est réalisée dès la naissance. Normal heart Blood from the right ventricle goes through the pulmonary valve into the pulmonary arteries. Pulmonary atresia with intact septum Blood from the right ventricle cannot go through the pulmonary valve, it comes out to find a passage between the atria. Dilatation of the pulmonary valve after perforation A. Waisting of the balloon used to dilate the pulmonary valve marks. B. Opening of the pulmonary valve with disappearance of the waist. NEONATAL PULMONARY VALVE PERFORATION What is pulmonary atresia with intact ventricular septum? Pulmonary atresia with intact ventricular septum (PA-IVS) is a rare congenital heart defect. In this condition, there is no passage between the right ventricle and the pulmonary artery. In other words, blood cannot flow normally to the lungs. The severity of this defect varies, but if the right ventricle is well developed, it becomes urgent at birth to open the pathway to the pulmonary arteries, in which case a puncture of the pulmonary valve is necessary. Procedure for Neonatal Pulmonary Valve Perforation: The perforation of the neonatal pulmonary valve is performed in the catheterization room. The newborn is placed under general anesthesia, lying on their back. The doctor performs a venous and arterial puncture in the groin area. From these access points, the doctor inserts thin catheters that are guided to the heart. The goal is to pass through the floor of the valve to position a balloon. The balloon is inflated to enlarge the valve and allow blood flow to the pulmonary arteries. At the end of the procedure, pressure is applied to the groin area for about ten minutes, and a compressive bandage is placed, which should be kept for a few hours. On the left, the angiography shows the absence of opacification of the pulmonary arteries. On the right, after perforation, the passage of the contrast agent to the pulmonary arteries can be seen. What are the risks of pulmonary valve perforation? Once again, pulmonary valve perforation addresses a non-viable cardiac malformation in its current state. Pulmonary valve perforation remains a life-saving procedure. What benefits can be expected from pulmonary valve perforation? After a perforation of the pulmonary valve, the following days guide us towards the continuation of the treatment: Either the lungs receive enough blood and the baby's growth is monitored without resorting to additional intervention. Either the lungs do not receive enough blood and we are forced to perform additional percutaneous or surgical intervention. Pulmonary atresia with intact septum Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Request for information Contact us Thank your for your submission ! Demande d'information map

La fermeture du canal artériel est une procédure de cardiologie interventionnelle qui consiste à occlure le canal artériel qui est un vestige persistant entre l'aorte thoracique et les artères pulmonaires. c'est un geste très fréquent en cardiopathie congénitale. Elle est réalisée sous anesthésie générale dès la naissance et permet d'éviter les risques de la section suture de la chirurgie classique de thoracotomie. Patent ductus arteriosus PDA closure device Actual size of a ductus arteriosus closure device, a few millimeters. PDA closure The device is attached to the catheter which is positioned in the ductus arteriosus. It is deployed to occlude it. PATENT DUCTUS ARTERIOSIUS CLOSURE in pediatrics What is the patent ductus arteriosus? Patent ductus arteriosus is a birth defect that occurs when the ductus arteriosus, a normal connection between the aorta and pulmonary artery in the fetus, does not close properly after birth. Normally, this duct allows blood to bypass the lungs and go directly to the baby's system. However, after birth, blood must be oxygenated by the lungs, and the ductus arteriosus closes quickly, usually within a few days to two weeks . When the ductus arteriosus persists, some of the oxygenated blood, which should be redistributed to the rest of the body, returns to the lungs. This can lead to blood circulation problems and overload of the pulmonary system. So why is closure of the patent ductus arteriosus proposed? Restore normal circulation: Closing the ductus arteriosus restores normal blood circulation. Oxygenated blood can then be distributed efficiently throughout the body, without overloading the lungs. Preventing complications: Patent ductus arteriosus can lead to complications, such as lung infections, heart problems, and pulmonary hypertension . Closing the ductus arteriosus early reduces these risks. Improve quality of life: Closing the ductus arteriosus improves the patient's quality of life by avoiding the symptoms associated with this malformation. Depending on the medical assessment, catheterization of the right heart chambers may be proposed in advance to determine the indication for closure of the ductus arteriosus. Performing the Closure of the patent ductus arteriosus: The examination takes place in the interventional cardiology unit. The child is laid flat and given general anesthesia so as not to move during the procedure. The doctor performs a venous and arterial puncture in the groin and inserts a thin catheter. The catheter is guided to the heart. The device is deployed in the ductus arteriosus to block it. At the end of the procedure, the groin is compressed for about ten minutes and then a pressure bandage is applied. The child is monitored in the recovery room until he or she is fully conscious and then returned to the parents. Feeding is only allowed two hours after the end of the procedure to avoid the risk of aspiration. Discharge is usually the next day after an ultrasound check. What are the complications of a patent ductus arteriosus closure procedure? Despite the experience of the operators and the significant technical progress concerning catheters and devices, this is an invasive procedure involving risks: allergic complications most often linked to the use of anesthesia products. Vascular complications at the femoral puncture site: the most common is a hematoma which results in a bluish appearance usually without consequence and disappearing after a few days. Rarely (<1% of cases), a vascular injury may require surgical repair or transfusion. Thrombosis of the artery can also occur. cardiovascular complications during the hospital period : they are very rare (<0.5% of cases) of stroke, hemorrhagic effusion around the heart or displacement of the device, which may require additional intervention, sometimes surgical. Cardiac complications after hospital discharge : Very rarely, displacement of the device or localized infection may occur. complications leading to death : they are very exceptional (<0.1%). It is important to note that these complications are rare, and the benefits of ductus arteriosus closure usually outweigh the risks. What benefits can be expected from patent ductus arteriosus closure? Closure of the patent ductus arteriosus offers several benefits for the child: Normal height and weight growth. Improved exercise capacity: The child will have no limitations when playing and running. Reduced susceptibility to viral infections: The child will have fewer episodes of viral infections. Closure of patent ductus arteriosus Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Assurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Request for information Contact us Thank your for your submission ! Demande d'information map

La fermeture de la communication interauriculaire (CIA) est une procédure de cardiologie interventionnelle qui consiste à fermer à l'aide d'une prothèse la communication entre les oreillettes. C'est une procédure sous anesthésie générale chez l'enfant éligible qui permet d'éviter les risques d'une chirurgie de fermeture par patch sous circulation extracorporelle. Atrial septal defect The ASD is a hole between the atria ASD closure device The device is an alloy of flexible metals (nickel and titanium). It contains a PTFE (Teflon) coating to make it waterproof. ASD Closure The device is implanted between the two atria to close the ASD. ATRIAL SEPTAL DEFECT CLOSURE in pediatrics What is an atrial septal defect closure? An atrial septal defect (ASD) is a hole in the septum separating the two atria of the heart that is present at the embryonic stage and does not close after birth. Depending on the size of the ASD, it can cause discomfort during exercise from a young age or only appear in adulthood after the age of thirty. It can also cause a stroke, a neurological complication that requires its closure to prevent a recurrence. In children, the indication for closure is made when the weight has reached 20 - 25 kilos to limit complications related to the device that is too large. ASD Closure procedure: The child must fast for 12 hours before the examination. The ASD is closed in the catheterization room. The child is laid flat and given general anesthesia so as not to move during the procedure and to allow the transesophageal ultrasound. The doctor performs a venipuncture in the groin and inserts a thin catheter. The catheter is guided to the heart. The device is positioned through the interatrial septum. At the end of the procedure, the groin is compressed for about ten minutes and then a pressure bandage is applied. The child is monitored in the recovery room until he or she is fully conscious and then returned to the parents. Food is only allowed two hours after the end of the procedure to avoid the risk of aspiration. Discharge is generally the next day after an ultrasound check. What are the expected benefits? Closing the CIA will balance the volumes between the heart chambers and reduce the dilation of the heart and therefore eliminate discomfort during exercise. What are the risks involved? Despite the experience of the operators and the significant technical progress concerning catheters and devices, this is an invasive procedure involving risks: allergic complications most often linked to the use of anesthesia products. Vascular complications at the femoral puncture site: the most common is a hematoma which results in a bluish appearance usually without consequence and disappearing after a few days. Rarely (<1% of cases), a vascular injury may require surgical repair or transfusion. cardiovascular complications during the hospital period : they are very rare (<0.5% of cases) of stroke, hemorrhagic effusion around the heart or displacement of the devices, which may require additional intervention, sometimes surgical. Cardiac complications after hospital discharge : the most common complication is the occurrence of palpitations linked to a rhythm disorder (<5% of cases): generally early (first weeks) and transient, this arrhythmia may require an action or additional treatment if it persists. Much more rarely (<0.5% of cases), the formation of clots on the device or a displacement of the device may occur. complications leading to death : they are very exceptional (<0.1%). What follow-up after the device implantation? The implantation of the device requires taking a double antiplatelet treatment for a period of three to six months. No special physical or professional precautions are necessary after implantation of the prosthesis. This device also does not contraindicate any future exploration or intervention. Antibacterial prophylaxis will be offered in the event of risky extracardiac procedures during the 6 months following implantation of the device. Atrial septal defect closure Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Request for information Contact us Thank your for your submission ! Demande d'information map

Jakamy heart center est un centre de cardiologie interventionnelle structurelle. Expertise en cardiopathie congénitale et pédiatrique dès la naissance (rashkind, perforation et dilatation de la valve pulmonaire...). Procédure de l'enfant jusqu'à l'âge adulte (Fermeture CIA/CIV & canal artériel, stent coarctation aorte...). Expertise en cardiologie interventionnelle adulte et gériatrique (Cathétérisme droit, Coronarographie et angioplastie, Dilatation mitrale, TAVI, Fermeture de FOP...). EXPERTISE AT YOUR SERVICE Dr Réda JAKAMY Structural Interventional Cardiologist Contact : +212 (0) 6 22 22 26 31 info@jakamyheartcenter.com Jakamy Heart Center Welcome to Jakamy Heart Center! I was passionate about building this website to educate patients about interventional cardiology treatment options. The center's goal is to provide high-quality invasive cardiology services, with renowned physicians and surgeons, as well as qualified paramedics. We are committed to providing personalized care and the latest treatment options to our patients from birth to adulthood. I believe in fostering a supportive and compassionate environment for those seeking cardiac care. Learn more about the conditions we treat and how we can help you achieve a healthier heart. Learn more about us Diseases treated Coronary artery diseases Pulmonary Hypertension Degenerative calcified aortic valve stenosis Discover more Insurance At Jakamy Heart Center, we understand the importance of easy, hassle-free insurance claims processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Don't hesitate to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance

L'hypertension pulmonaire est une pathologie qui résulte de l’augmentation de la pression artérielle dans l’artère pulmonaire. Elle peut être de causes multiples et le diagnostic est réalisé grâce au cathétérisme droit. Normal heart and lungs "The pulmonary arteries are of normal caliber Pulmonary hypertension The pulmonary arteries are narrowed PULMONARY HYPERTENSION What is pulmonary hypertension? The heart is a complex organ composed of several chambers and blood vessels. It works closely with several organs, including the lungs. The right heart pumps oxygen-poor blood to the lungs through the pulmonary artery. Pulmonary hypertension develops when there is an increase in pressure in the pulmonary vessels. This increase in pressure directly affects the right heart, as it has to work harder to eject the blood. The right heart then becomes larger, its cardiac muscle thicker and less functional. As the disease progresses and the heart becomes increasingly overloaded, shortness of breath becomes significant, and lower limb edema appears. Pulmonary hypertension is secondary when it is caused by an underlying disease: a heart disease, lung parenchyma, or pulmonary vessels. When no cause can be established, it is referred to as primary pulmonary hypertension. How is pulmonary hypertension diagnosed? The diagnosis of pulmonary hypertension is suspected by cardiac ultrasound. To confirm the diagnosis, you will be offered a catheterization of the right heart chambers (more commonly called right catheterization or right KT) . Attached is the link for the Adult Right Catheterization . Attached is the link for the Pediatric Right Catheterization . Is it necessary to do the right heart catheterization ? It is important to do this for several reasons: Confirm or rule out the diagnosis of pulmonary hypertension. Determining the origin of pulmonary hypertension and paving the way for specific treatments Establish the surgical indication in cases of pulmonary hypertension secondary to congenital heart disease . Pulmonary hypertension Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us

La maladie des artères coronaires est une maladie causée par l'accumulation de plaques d'athérome (dépôts de cholestérol) sur les parois internes des artères, un processus appelé athérosclérose. The coronary arteries The coronary arteries arise at the base of the aorta and divide into two parts: a left coronary network and a right coronary network. Coronary artery disease Different stages of coronary artery stenosis. CORONARY ARTERY DISEASE What is coronary artery disease? Coronary artery disease is a common condition that affects the coronary arteries, the blood vessels that supply the heart with oxygen-rich blood. This disease is primarily caused by the buildup of plaque (cholesterol deposits) on the inner walls of the arteries, a process called atherosclerosis . What are the consequences of coronary artery disease? Angina pectoris, or angina, is chest pain caused by reduced oxygen supply to the heart muscle. This pain often occurs during physical exertion or emotional stress and manifests as a feeling of tightness or squeezing in the chest. Myocardial infarction commonly known as a heart attack, occurs when one of the coronary arteries suddenly becomes occluded, preventing blood from reaching a part of the heart muscle. This leads to the death of heart cells in the affected area, which can cause permanent damage to the heart and progress to heart failure. What are the diagnostic and therapeutic intervention methods? Coronary angiography is a medical test that allows the coronary arteries to be visualized using X-rays and a contrast agent injected into the arteries. This test is essential to detect narrowing or occlusions in the coronary arteries. Coronary angioplasty is a procedure to widen a narrowed or occluded coronary artery. It involves inserting a small balloon into the artery and inflating it to open the passage. Often, a stent (a small wire mesh tube) is placed to keep the artery open. In the setting of a heart attack, coronary angioplasty is an absolute emergency. What are the means of prevention? Prevention of coronary artery disease includes eating a healthy diet, exercising regularly, quitting smoking, and managing stress. Treatments include medications to lower cholesterol and blood pressure, as well as procedures such as angioplasty and stenting to restore blood flow to the heart. By taking care of your heart and adopting a healthy lifestyle, you can significantly reduce the risks associated with coronary artery disease. Atherosclerosis Coronary artery disease Myocardial infarction Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 666 727 129 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us

La dilatation de la valve aortique est une procédure de cardiologie interventionnelle qui consiste à dilater au ballon la valve aortique. Chez le nouveau-né, c'est généralement un geste de sauvetage. Aortic valve stenosis Narrowing of the aortic valve restrict blood flow from the heart to the aorta and the rest of the body. Balloon dilatation of the aortic valve The balloon is inflated at the aortic valve to widen it. Balloon aortic valvuloplasty Angiographic image of aortic valve dilatation AORTIC VALVE DILATATION in pediatrics What is aortic valve dilatation? The aortic valve is one of the four valves of the heart and separates the left ventricle (the heart's pump) from the aorta (the largest blood vessel in the body). It allows blood to pass from the heart to the rest of the body. Narrowing of the aortic valve prevents blood from flow normally and becomes responsible for symptoms such as shortness of breath, angina, and heart failure. Aortic valve dilatation, also called aortic valvuloplasty, is offered in cases of aortic valve narrowing. It is usually a life-saving procedure in newborns, or scheduled in children. The goal of the procedure is to delay the need for heart surgery until adulthood. Performing aortic valve dilatation: Aortic dilatation is performed in the catheterization room. The child is laid flat and given general anesthesia so as not to move during the procedure. The doctor performs an arterial puncture in the groin and inserts a thin catheter. The catheter is guided to the heart. An inflatable balloon is positioned at the aortic valve. Then, the balloon is inflated to widen the valve and improve blood flow. At the end of the procedure, the groin is compressed for about ten minutes and then a pressure bandage is applied. The child is monitored in the recovery room until he or she is fully conscious and then returned to the parents. Feeding is only allowed two hours after the end of the procedure to avoid the risk of aspiration. Discharge is usually the next day after an ultrasound check. Are there any risks associated with aortic valve dilatation? Despite technical progress and the experience of doctors, cardiac catheterization to dilate the aortic valve involves, as with any invasive or surgical procedure, a risk of incidents or accidents: Allergic complications: Most often linked to the use of iodinated radiological products or local anesthetics. If you have already experienced allergic manifestations, it is imperative to inform your doctor. Complications at the puncture site of the artery: The most common complication is the formation of a bruise or hematoma at the puncture site which can persist for several days, but is usually without consequence. Also, we can cite thrombosis, that is to say the occlusion of the artery. Cardiac and vascular complications: During the examination, palpitations may occur due to a rhythm disorder. Serious complications include cardiac perforation and aortic valve tear. These are rare but not negligible in the context of the emergency and the low weight of the infant. What benefits can be expected from aortic valve dilatation? Aortic valve dilatation offers several benefits for the child: Normal height and weight growth. Improved exercise capacity: The child will have no limitations when playing and running. Improved cognitive abilities: The child will have fewer difficulties in learning and performing. What is the follow-up after aortic dilatation? Aortic valve dilatation, in the absence of significant leakage, gives good results over about ten years. Follow-up with the cardiologist is mandatory. The goal is to postpone the need for heart valve replacement surgery to the latest possible age. Aortic valve stenosis Balloon aortic valvuloplasty Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Request for information Contact us Thank your for your submission ! Demande d'information map

La fermeture de la communication interauriculaire (CIA) chez l'enfant est une procédure de cardiologie interventionnelle qui consiste à fermer à l'aide d'une prothèse la communication entre les oreillettes. C'est une procédure sous anesthésie générale et permet d'éviter les risques d'une chirurgie classique. Atrial septal defect ASD is a hole between the atria. ASD closure device The device is an alloy of flexible metals (nickel and titanium). It contains a PTFE (Teflon) coating to make it waterproof. ASD closure The device is implanted between the two atria to close the ASD. ATRIAL SEPTAL DEFECT CLOSURE in adults Why are you being offered an ASD closure? An atrial septal defect (ASD) is a hole in the wall separating the two atria of the heart that is present during the embryonic stage and does not close after birth. Depending on the size of the ASD, it can cause exertional discomfort from a young age or may not present until adulthood, past the age of thirty. Additionally, it can lead to a stroke, a neurological complication that necessitates closure to prevent recurrence. Based on your medical evaluation, you may be offered a right heart catheterization beforehand to determine the indication for ASD closure. Can I eat and drink before this test? You must be more than 12 hours before the exam. We try to respect the order and time of passage according to the organization of the day. However, depending on the emergencies of the day, the duration of the interventions of the day, it is possible to have a waiting time of several hours. Performing the closing gesture: Your test will take place in the interventional cardiology unit. When you are admitted to the cardiology department, you will be asked to put on a hospital gown. You will need to remove all jewelry, underwear and socks. A small area of your groin will be shaved which will be the entrance route for the examination. A stretcher-bearer will take you to the catheterization room in your bed. You will be helped onto a narrow, hard table. It will be a little cold in the room. Around you, you will see X-ray machines and monitors. Small sticky patches will be placed on your chest. These will be connected to a heart monitoring machine. Your body will be covered with a large sterile drape. General anesthesia will begin. The procedure involves implanting a device comprising two metal mesh discs connected by a small connector and positioned on either side of the septum between the two atria to make it watertight. This flexible device is implanted by cardiac catheterization via a puncture of the femoral vein. This procedure is performed with ultrasound guidance (usually via transthoracic or transesophageal route), requiring general anesthesia or simple sedation. You will be asked to lie down for a few hours after the procedure. You will generally be discharged the day after the procedure after a transthoracic ultrasound scan. What are the expected benefits? Closing the ASD will balance the volumes between the heart chambers and reduce the dilation of the heart and therefore eliminate discomfort during exercise. What are the risks involved? Despite the experience of the operators and the significant technical progress concerning catheters and devices, this is an invasive procedure involving risks: allergic complications most often linked to the use of anesthesia products. Vascular complications at the femoral puncture site: the most common is a hematoma which results in a bluish appearance usually without consequence and disappearing after a few days. Rarely (<1% of cases), a vascular injury may require surgical repair or transfusion. cardiovascular complications during the hospital period : they are very rare (<0.5% of cases) of stroke, hemorrhagic effusion around the heart or displacement of the device, which may require additional intervention, sometimes surgical. Cardiac complications after hospital discharge : the most common complication is the occurrence of palpitations linked to a rhythm disorder (<5% of cases): generally early (first weeks) and transient, this arrhythmia may require an action or additional treatment if it persists. Much more rarely (<0.5% of cases), the formation of clots on the device or a displacement of the device may occur. complications leading to death : they are very exceptional (<0.1%). What follow-up after the device implantation? The implantation of the device requires taking a double antiplatelet treatment for a period of three to six months. No special physical or professional precautions are necessary after implantation of the device. This device also does not contraindicate any future exploration or intervention. Antibacterial prophylaxis will be offered in the event of risky extracardiac procedures during the 6 months following implantation of the device. Atrial septal defect closure Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 666 727 129 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Demande d'information Contact us Thank your for your submission ! Demande d'information map

L'ablation septale est une procédure de cardiologie interventionnelle qui consiste à boucher une branche d'une artère coronaire pour provoquer une nécrose localisée dans le muscle cardiaque. Elle est indiquée en cas d'obstruction à l'éjection cardiaque et permet de lever cet obstacle qui peut causer une mort subite. Obstructive hypertrophic cardiomyopathy Hypertrophic cardiomyopathy: the left ventricle is hypertrophic and has an obstruction at its exit to the aorta. Alcohol septal ablation Injection of ethanol into the septal artery to induce a localized infarction and relieve the obstruction to the aortic outflow tract. SEPTAL ABLATION What is septal ablation? Alcohol septal ablation is a technique aimed at treating obstructive hypertrophic cardiomyopathy. This procedure is performed if the symptoms are too severe to be managed with medication. In obstructive hypertrophic cardiomyopathy, there is a thickening of the septum (the wall) that separates the ventricles of the heart, which eventually obstructs general blood flow. Alcohol septal ablation induces a very small controlled heart attack in the area where the heart tissue is abnormally thick. During alcohol septal ablation, the damaged tissues are destroyed and replaced by thinner scar tissue, allowing normal blood flow to be restored from the heart. How is an ablation procedure performed? A local anesthetic is injected at the catheter insertion site. The patient is also given a blood thinner and a sedative, if necessary. A contrast agent is also given to help doctors guide the catheter inside the body using real-time X-rays and echocardiography. A thin catheter (tube) with a balloon at the end is inserted into a blood vessel in the groin and then guided to the heart using imaging techniques. When the catheter reaches the blocked artery, the balloon is inflated to stop blood flow. A small amount of pure alcohol is then injected through the catheter into the artery to destroy excess tissue blocking circulation. The patient may feel some discomfort or mild chest pain during this part of the procedure. A few minutes later, the balloon and catheter are removed. The patient then remains under observation in the hospital for a few days. Afterwards, he must limit his activities for a few months, until complete recovery. Follow-up visits are scheduled to assess healing and heart function. What are the risks of septal ablation? Despite technical progress in catheters, balloons, and the experience of doctors, percutaneous septal ablation, like any invasive or surgical procedure, carries a risk of incidents or accidents. Complications such as heart attack, serious heart rhythm disorders, stroke or coronary perforation are very rare. Exceptionally, emergency heart surgery may be necessary. Death is very rare. Puncture site complications - These have become rare. The most common complication is a hematoma that can persist for several days, but is usually harmless. More rarely, an artery may become blocked or injured and require surgical repair and/or a blood transfusion. Allergic complications - These are exceptional. Most often linked to iodinated contrast products or anesthetic products. If you have already had allergic manifestations, it is absolutely necessary to inform the doctor. Conductive risk - the septal region to be ablated is close to the conduction pathways of the heart and the risk of a high degree conduction disorder requiring the implantation of a pacemaker is not negligible and is 10%. Obstructive hypertrophic cardiomyopathy Alcohol septal ablation Our location Make an appointment LUH Les Ambassadeurs : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us map Insurance At Jakamy Heart Center, we understand the importance of easy and hassle-free insurance claim processing. Our team is here to help you verify your insurance coverage and answer any questions you may have. Feel free to contact us for personalized assistance. Our goal is to make your experience as pleasant as possible. We are committed to providing transparent and clear information about the insurance plans we accept. Contact us today to see if your insurance is accepted and to get the care you need. Check your insurance Request for information Contact us Thank your for your submission ! Demande d'information