Search results

La dilatation de la valve mitrale est une procédure de cardiologie interventionnelle qui consiste à dilater la valve mitrale. Elle permet de retarder la chirurgie cardiaque de remplacement valvulaire. Rheumatic mitral stenosis Mitral dilatation Mitral valve balloon dilatation Mitral dilatation The image on the left shows the balloon used for mitral dilatation (on the right) in angiography. MITRAL DILATATION What is mitral dilatation? Mitral dilatation is a procedure aimed at relieving the blockage to the filling of your ventricle. Following rheumatic fever contracted in the past, the mitral valve located between the left atrium and the left ventricle has narrowed due to "fusions" of its commissures, causing difficulty during heart filling and clinically the shortness of breath you feel. How is mitral dilatation performed? Your test will take place in the interventional cardiology unit. Upon your admission to the cardiology department, you will be asked to wear a hospital gown. You will need to remove all your jewelry, underwear, and socks. You may wear your glasses, dentures, and hearing aids if needed. A small area of your groin will be shaved in case it is the access point for the procedure. You will be asked to go to the bathroom to empty your bladder (urinate) just before your test. A stretcher-bearer will take you to the catheterization room in your bed. You will be helped to lie down on a narrow, hard table. It might be a bit cold in the room. Around you, you will see X-ray analysis devices and screens. Small sticky patches will be placed on your chest. These will be connected to a heart monitoring device. Your body will be covered with a large sterile drape. This examination is performed under X-ray control, at doses as low as possible. The doctor will administer a subcutaneous anesthetic in the vein of the right groin to reduce the sensation of pain. In some cases, general anesthesia will be performed, the goal of which is to guide the procedure using transesophageal echocardiography. The dilatation is performed using an inflatable balloon catheter via the femoral vein. This balloon is placed at the level of the mitral valve by passing from the right atrium to the left atrium after making an opening through the wall that separates these two atria (trans-septal puncture). The valve is then dilated by inflating the balloon to progressively larger sizes under echocardiographic control to achieve the best possible result. Can I take my usual medications before the test? You can take most of your usual medications the night before your test and on the day of the test. Your doctor will review with you the medications you are taking. If you have any doubts about a medication, you should notify the doctor before your visit. Can I eat and drink before this test? You must fast for 12 hours before the exam. Depending on the organization of the day, we try to respect the order and time of passage. 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. Are there any risks associated with mitral dilatation? Despite technical progress in equipment and the experience of doctors, mitral dilatation, like any invasive or surgical procedure, carries a risk of incidents or accidents: Allergic complications - Most often linked to the use of iodinated contrast product or local anesthetic. If you have ever had allergic reactions, it is essential to inform the doctor before the examination. Complications at the puncture site - These are rare. The most common complication is a hematoma which results in a bluish appearance, which can persist for several days but is usually without consequence. Exceptionally, surgical repair and/or a blood transfusion may be necessary. Cardiac complications - Mobilization of a clot that can lead to a stroke is exceptional. Injury to the heart envelope secondary to the creation of the hole between the two atria is rare and usually treated effectively by immediate drainage in the catheterization room (about 1%). Surgery is rarely necessary. A valve tear may occur (about 3% of cases). It is unpredictable but the risk is reduced by the use of echocardiography during the procedure. It may require surgery which is exceptionally necessary in an emergency. Failure of dilatation: The narrowing may be impossible to cross or dilate. The failure rate of the procedure is around 5 to 10%. In this case, a classic surgical intervention can always be considered in a second stage. What benefits can be expected from mitral dilatation? By allowing normal passage of blood between the left atrium and the left ventricle, mitral dilatation improves long-term outcomes and in particular reduces your shortness of breath. The progression of the disease means that the narrowing can recur at a distance. The average delay is 7 to 12 years. This restenosis can be treated by a new dilatation or surgery depending on the appearance of the valve. How long will I be in bed after the test? You must remain in bed for about two hours without bending the leg used for the puncture too much. The head of the bed can be slightly raised for eating. After 4 hours of bed rest, you will be able to get up. You will spend the night under observation. Mitral stenosis Mitral valve dilatation 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 dilatation de la valve pulmonaire est une procédure de cardiologie interventionnelle qui consiste à lever le rétrécissement congénitale de la valve pulmonaire grâce à un ballonnet. Elle est réalisée sous anesthésie générale et permet d'éviter les risques de la chirurgie classique de commissurotomie pulmonaire. Pulmonary valve stenosis Pulmonary valve dilatation A. Waisting of the balloon used to dilate the pulmonary valve marks. B. Opening of the pulmonary valve with disappearance of the waist. PULMONARY VALVE DILATATION in pediatrics What is pulmonary valve dilatation? Pulmonary valve dilatation is a medical procedure that aims to treat pulmonary stenosis, a condition where the pulmonary valve is too narrow, restricting blood flow from the heart to the lungs. This procedure is performed by inserting a catheter with a balloon at its tip through the femoral vein and guided to the heart. Once inside the valve, the balloon is inflated and separates the valve cusps, allowing better blood flow . Pulmonary dilatation can be performed at birth, if the newborn's adaptation to extra-uterine life is difficult (cyanosis), or during childhood if pulmonary stenosis affects the child's growth or ability to exercise. Performing pulmonary valve dilatation: Pulmonary 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 a venipuncture in the groin and inserts a thin catheter. The catheter is guided to the heart. An inflatable balloon is positioned at the pulmonary 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 pulmonary valve dilatation? Despite technical progress and the experience of doctors, cardiac catheterization to dilate the pulmonary valve carries, 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 vein: 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, thrombosis, i.e. occlusion of the vein, can be mentioned. Cardiac and vascular complications: During the examination, palpitations may occur due to a rhythm disorder. Serious complications include cardiac perforation and tricuspid valve tear. These are rare but not negligible in the context of the emergency and the low weight of the infant. Failure of valvular dilation: Quite rare, it generally redirects the diagnosis towards a supravalvular stenosis, that is, arterial, which in this case requires surgical management. What benefits can be expected from pulmonary valve dilatation? Dilation of the pulmonary valve 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 pulmonary valve dilatation? Dilatation of the pulmonary valve gives good results over many years. Follow-up with the cardiologist is annual and there are two possible developments: The valve has been dilated and over the years it will tighten. At that point, we can proceed to a new dilation of the pulmonary valve. We can perform this procedure as many times as necessary, because it represents the best alternative to valve surgery. The valve has been dilated and over the years it has become leaky. At this point, we will have the choice of performing pulmonary revalvulation either by catheterization or surgery. Pulmonary valve stenosis 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

Le stenting de la coarctation de l'aorte est une procédure de cardiologie interventionnelle qui consiste à dilater le rétrécissement de l'aorte thoracique. C'est une procédure sous anesthésie générale chez l'enfant. Elle permet d'éviter la chirurgie classique qui comporte plus de risque. Coarctation of the aorta The narrowed aorta obstructs the flow of blood to the body's organs. Vascular stents a and b: uncovered stents. c and d: covered stents e: Dilatation balloon Aortic coarctation stenting Angiographic images of aortic coarctation before and after stenting. AORTIC COARCTATION STENTING in children What is coarctation of the aorta? Coarctation of the aorta is an abnormal narrowing of the aorta, the large blood vessel that carries blood from the heart to the rest of the body. This limits blood flow to organs and lower limbs. It can be present from birth (congenital coarctation) or develop later in life. The heart has to work harder to push blood through the narrowed part of the aorta. How to treat coarctation of the aorta? The interventional solution for coarctation of the aorta is stenting. Stenting reduces blood pressure in this area, thus relieving the heart and improving blood circulation . It widens the narrowed area, allowing blood to flow more freely. This improves perfusion of the abdominal organs and lower limbs, reducing the risk of complications . Stenting aims to improve quality of life and reduce the risks of cardiac and vascular complications associated with coarctation of the aorta . However, to perform this procedure, one must be able to ensure the accessibility of the femoral approach. The stent is introduced through the femoral artery, which must be of a good caliber. Generally, the stent can be considered after 8 - 10 years. In younger children, surgery will be discussed. In the neonatal period, for a rescue procedure, balloon dilation alone can be performed. Performing stenting of coarctation of the aorta: The child must fast for 12 hours before the examination. Stenting of the coarctation of the aorta 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 arterial punctures in the groin and inserts a thin catheter. The catheter is guided to the narrowed area of the aorta. The stent is deployed there to dilate the aorta. At the end of the procedure, compression is applied for about ten minutes at the groin level 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 usually the next day after an ultrasound check. Are there any risks associated with coarctation of the aorta stenting? Despite technical progress and the experience of doctors, cardiac catheterization 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 artery puncture site: This can range from a simple hematoma to a vascular injury or occlusion requiring surgical repair and/or blood transfusion. Cardiac and vascular complications: During the examination, discomfort, chest pain, palpitations related to a rhythm disorder may occur. Serious complications are very rare. The risk of death is very low. What follow-up after stenting of coarctation of the aorta? Stenting requires taking antiplatelet treatment for a period of 6 months. Antibacterial prophylaxis will be proposed in the event of risky extracardiac procedures during the 6 months following stent implantation. The child will be able to have a normal school life. He must continue the follow-up with his cardiologist, have a chest scan at 1 year. Depending on the child's growth, it may be necessary to repeat the procedure to dilate the previous stent or add a new stent. Coarctation of the aorta Stenting of coarctation of the aorta 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 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

La manoeuvre de Rashkind est une procédure de cardiologie interventionnelle de sauvetage chez le nouveau-né qui consiste à créer une communication interauriculaire pour permettre la vie. C'est une procédure d'urgence et vitale. Transposition of the great arteries Atrioseptostomy balloon The balloon measures 1 - 1.5 cm in diameter. RASHKIND ATRIAL SEPTOSTOMY What is the Rashkind atrial septostomie? The Rashkind atrial septostomy, also called Rashkind manoeuvre, is an interventional cardiology procedure performed as soon as possible after birth in newborns with transposition of the great arteries. In transposition of the great vessels, the pulmonary ("small circulation") and systemic ("large circulation") blood circulations occur in parallel rather than in series. The Rashkind maneuver aims to artificially create a wide communication between the right atrium and the left atrium. Performing the Rashkind maneuver: The procedure is performed as an emergency on a sedated newborn or under general anesthesia. A catheter with an inflatable balloon is introduced through the femoral vein or umbilical vein and directed into the left atrium via the foramen ovale. The balloon is inflated to enlarge this communication. The increase in arterial oxygen saturation assesses the effectiveness of the maneuver. Does Rashkind 's maneuver carry risks? Coronary complications : They can occur and represent the main cause of secondary mortality . Bleeding: As with any procedure, there is a risk of bleeding associated with the manipulation of blood vessels. Vascular damage: The catheter may damage blood vessels during insertion. Allergic reaction: The use of radiological contrast agents can cause allergic reactions in some patients. What benefits can we expect from Rashkind's maneuver? Rashkind maneuver allows better oxygenation of blood for efficient perfusion of organs and tolerating life. It is followed by cardiac repair surgery. Transposition of the great arteries Rashkind atrial septostomy 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 dilatation de la valve pulmonaire est une procédure de cardiologie interventionnelle qui consiste à lever le rétrécissement congénitale de la valve pulmonaire grâce à un ballonnet. Elle permet d'éviter les risques de la chirurgie classique de commissurotomie pulmonaire. Pulmonary valve stenosis Pulmonary valve valvuloplasty A. Waisting of the balloon used to dilate the pulmonary valve marks. B. Opening of the pulmonary valve with disappearance of the waist. PULMONARY VALVE DILATATION in adults Why are you being offered pulmonary valve dilatation? Pulmonary valve dilatation is a medical procedure to treat pulmonary stenosis, a condition where the pulmonary valve is too narrow, restricting blood flow from the heart to the lungs. This procedure is performed by inserting a catheter with a balloon at the tip through a vein and guiding it into the heart. Once inside the valve, the balloon is inflated and separates the valve cusps, allowing better blood flow . In rare cases, if balloon dilatation is not possible or effective, the pulmonary valve may be replaced with a bioprosthetic valve . 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 pulmonary valve dilatation: Pulmonary dilatation is performed in the catheterization room. The patient is conscious and lying flat. The doctor performs a venipuncture under local anesthesia at the groin. It is from this route that the doctor inserts a thin catheter into a large vein in the groin. The catheter is guided to the heart. An inflatable balloon is positioned at the pulmonary 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, a pressure bandage is put on you and you will be asked to keep your leg straight for 4 hours. You can get up afterwards. You are usually discharged the next day. Are there risks associated with pulmonary valve dilatation? Despite technical advances and the experience of doctors, cardiac catheterization to dilate the pulmonary valve, like any invasive or surgical procedure, carries a risk of incidents or accidents: Allergic complications: Most often related to the use of iodinated radiological contrast or local anesthetic. If you have had allergic reactions before, it is imperative to inform your doctor. Complications at the puncture site of the vein: 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 inconsequential. Cardiac and vascular complications: During the examination, discomfort, chest pain, or palpitations related to a rhythm disorder may occur. Serious complications, however, are very rare. What benefits can be expected from pulmonary valve dilatation? Pulmonary valve dilatation offers several benefits for patients: Improved shortness of breath during exercise: After the procedure, you should feel less shortness of breath during physical activities and in your daily life. Your ability to tolerate exercise should improve, allowing you to participate in activities for longer periods of time. Improved quality of life: Pulmonary valve dilatation can reduce anxiety and depression, promoting a better quality of life. What is the follow-up after pulmonary valve dilatation? Dilatation of the pulmonary valve gives good results over many years. Follow-up with the cardiologist is annual and there are two possible developments: The valve has been dilated and over the years it will tighten. At that point, we can proceed to a new dilatation of the pulmonary valve. We can perform this procedure as many times as necessary, because it represents the best alternative to valve surgery. The valve has been dilated and over the years it has become leaky. At this point, we will have the choice of performing pulmonary revalvulation either by catheterization using a bioprosthesis or by surgery using a mechanical valve. Pulmonary valve stenosis 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 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

La dilatation de la valve aortique est une procédure de cardiologie interventionnelle qui consiste à dilater au ballon la valve aortique. Elle est réalisé chez l'adulte rarement car actuellement l'implantation de la valve aortique peut se faire par voie percutanée TAVI. Aortic valve stenosis Narrowing of the aortic valve obstructs ejection from the left ventricle. Balloon dilatation of the aortic valve The balloon is inflated at the aortic valve to stretch it. Aortic valvuloplasty Angiographic image of aortic valve dilatation. AORTIC VALVE DILATATION in adults Why are you being offered 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 proposed in case of aortic valve narrowing or stenosis. It is a procedure that can be considered in an emergency, because it is currently overtaken by the direct implantation of an artificial aortic valve percutaneously, commonly called TAVI for Transcatheter Aortic Valve Implantation. Performing Aortic Valve Dilatation: Your test will take place in the interventional cardiology unit. Upon your admission to the cardiology department, you will be asked to wear a hospital gown. You will need to remove all your jewelry, underwear, and socks. A small area of your groin will be shaved, which will be the access point for the procedure. A stretcher-bearer will take you to the catheterization room in your bed. You will be helped to lie down on a narrow, hard table. It might be a bit cold in the room. Around you, you will see X-ray analysis devices and screens. Small sticky patches will be placed on your chest. These will be connected to a heart monitoring device. Your body will be covered with a large sterile drape. The doctor will perform a puncture under local anesthesia of the right or left femoral arterial and venous pathways. They will then insert the balloon catheter to dilate the heart valve. At this point, you may feel your heart rate increase. The valve dilation does not cause any pain. At the end of the procedure, the access points will be closed as much as possible with a percutaneous closure device. You will generally be discharged the day after the procedure following a transthoracic echocardiographic check. What are the expected benefits? The expected benefits of this therapeutic procedure are a rapid improvement in your symptoms (shortness of breath, chest pain, discomfort), an improvement in the contractility and functioning of your heart and, more generally, an improvement in your quality of life. However, this benefit does not last because the valve closes slowly to return to its basic state of narrowing after a year. This is why this procedure is only indicated in emergency situations or when a TAVI cannot be considered in a short time. Risks and side effects: The risks of the procedure are those of cardiac catheterization, coronary angiography , to which are added the potential risks linked to the dilatation of the valve itself. The potential complications linked to these therapeutic procedures are: cardiac rhythm disorders, vascular complications at the catheter insertion site (hematoma, perforation or arterial obstruction that may require surgical repair), myocardial infarction, embolization of valvular material or clots, aortic dissection (tear of the aortic wall), perforation of a heart chamber, stroke, renal failure, bleeding requiring transfusion, need for emergency surgery for aortic valve replacement, death. Aortic valve stenosis 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 you 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 permet d'éviter la chirurgie classique et ses risques. Patent ductus arteriosus The patent ductus arteriosus is a connection between the aorta and the pulmonary artery. PDA closure device Actual size of a patent 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 there to occlude it. CLOSURE OF THE PATENT DUCTUS ARTERIOSIUS in adults 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 your medical assessment, you may be offered a prior right heart catheterization to determine the indication for closure of the ductus arteriosus. Procedure for closing the Arterial Duct: Your examination will take place in the interventional cardiology unit. Upon your admission to the cardiology department, you will be asked to wear a hospital gown. You will need to remove all your jewelry, underwear, and socks. A small area of your groin will be shaved, which will be the access point for the examination. A stretcher-bearer will take you to the catheterization room in your bed. You will be helped to lie down on a narrow, hard table. It might be a bit cold in the room. Around you, you will see X-ray analysis devices and screens. Small sticky patches will be placed on your chest. These will be connected to a heart monitoring device. Your body will be covered with a large sterile drape. The procedure involves the implantation of a metal mesh device in the arterial duct. This flexible device is implanted by cardiac catheterization via a puncture of the femoral vein under local anesthesia. In the absence of complications, the patient returns to their room and is monitored for 4 to 6 hours. Discharge is possible afterward. What are the complications of a 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. 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 deviceor 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. PDA 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

contact par mail ou whatssap. Soumission des dossiers pour avis. Address Local University Hospital Les Ambassadeurs Contact : + 212 (0) 6 22 22 26 31 Appointment Mon.- Fri. 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Souissi, Rabat, Morocco. In case of emergency, go to LUH Les Ambassadeurs at any time. Request for information First name Last name E-mail Message Send Thank your for your submission !

Le cathétérisme droit est un examen diagnostique de cardiologie interventionnelle qui consiste par le biais d'une voie veineuse périphérique de mesurer les pressions intracardiaques et pulmonaires et d'imager les anomalies structurelles. Il permet de mieux orienter les investigations étiologiques en cas d'hypertension pulmonaire et de déterminer le traitement médicamenteux ou interventionnel adéquat dans le cas de cardiopathies congénitales ou acquises. Balloon catheter Multi-lumen catheter for performing right heart catheterization. Right heart catheterization The catheter is introduced into the different right heart chambers to take pressure and angiography measurements. RIGHT HEART CATHETERIZATION in adults What is right heart catheterization? Right heart catheterization, abbreviated as RHC, is a test that is performed to check how well your heart muscle is functioning. During this test, heart and blood pressure readings are taken and blood samples are taken to measure oxygen levels in the heart. This test is useful in finding the cause of pulmonary hypertension, determining its medication or interventional treatment, and deciding whether to have heart surgery in the case of congenital heart disease. Can I take my usual medications before the test? You can take most of your usual medications the night before your test and on the day of the test. Your doctor will review the medications you are taking with you. If you are unsure about any medication, you will need to let us know before you come. Can I eat and drink before this test? You can have a small snack on the day of the exam. Depending on the organization of the day, we try to respect the order and time of passage. 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. How is right heart catheterization performed? 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. You may wear your glasses, dentures, and hearing aids, if needed. A small area of your groin will be shaved in case it will be the entrance for the test. You will be asked to go to the bathroom to empty your bladder (urinate) just before your test. A stretcher-bearer will take you to the catheterization room in your bed. You will be helped onto a hard, narrow table. It will be a little cold in the room. Around you you will see X-ray machines and screens. 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. The doctor will administer an anesthetic subcutaneously into the vein of your right arm or right groin to reduce the sensation of pain. Small catheters (tubes) are inserted into a vein into the right side of your heart. You may be asked to take a deep breath to help move the catheter. The doctor will measure the pressure in your heart and take blood samples to measure oxygen levels. If your ambient air saturation is low, an artery will be punctured to measure blood pressure and a blood sample will be taken to measure oxygen concentrations. The puncture will be made either at the wrist or in the groin crease. We may also perform angiograms, i.e. injections of contrast products. At this time, you may feel a sensation of heat throughout your body for a few seconds. The test lasts approximately 60 minutes. Are there any risks with this test? This procedure is safe and usually well tolerated, but there are still some risks. There may be bleeding at the insertion site, as well as pain and bruising. Additional heartbeats or palpitations (rapid heartbeats) may occur when the catheter is placed in your heart. It is very rare for this to cause problems, but you may experience such palpitations during the test. The risk of serious complications is very rare (less than 1%), but the benefit of the examination far outweighs the risks. How long will I be in bed after the test? If the procedure was performed using a vein in your arm, you will be able to get up as soon as you return to your room. If the procedure was performed from a vein in the groin, you must remain in bed for about two hours without bending the leg used for the puncture too much. The head of the bed can be slightly raised. After 2 hours of bed rest, you will be able to get up. When can I be discharged from the hospital? If the test was performed from a vein in the arm and without artery puncture, you will be able to leave 1 hour after the end of the examination. If the test was performed from a vein in the groin, you will be discharged approximately three hours after the procedure is completed. You will need to walk around and check for bleeding before you can consider discharge. It is recommended that you be picked up and taken home. It is important that someone be with you for a few hours after discharge in case you have any bleeding and need assistance. Cardiac catheterization 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 you for your submission. Demande d'information

L'implantation de la valve aortique par voie percutanée (TAVI) est une procédure de cardiologie interventionnelle qui consiste à traiter le rétrécissement de la valve aortique sans recourir à la chirurgie classique. Elle ne nécessite pas d'anesthésie générale et permet une déambulation rapide. Aortic valve stenosis Narrowing of the aortic valve obstructs ejection from the left ventricle. TAVI Biological artificial valve implanted at the level of the aortic valve. TAVI Biological artificial valve implanted at the level of the aortic valve. TAVI What is TAVI? 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. Treatment for this disease usually consisted of replacing the diseased valve with an artificial valve surgically, using "open heart" surgery. TAVI " Transcatheter Aortic Valve Implantation " is an alternative method that consists of placing an artificial biological valve at the level of your diseased aortic valve by passing through the femoral artery (in the groin crease). This innovative procedure is performed without surgical opening under X-ray control. This artificial valve is made of pericardium (a thin membrane that surrounds the heart) of animal origin (beef), reproducing the general shape of a normal aortic valve, fixed inside a tubular and expandable metal mesh (stent). This valve is compressed on an inflatable balloon mounted at the end of a tube (or catheter) and pushed to the heart under radiological monitoring, then placed at the level of the diseased aortic valve by inflating the balloon. Once in position, it is held in place by the sole force of expansion of the stent. The size is chosen according to the size of the aortic annulus (place where the stent will be deployed). What is the implantation method? To introduce the artificial valve to the heart, the right or left femoral arterial route is used. However, a femoral arterial caliber greater than 6 mm remains essential for this approach. The following additional tests are necessary before considering valve implantation: electrocardiogram, echocardiogram (ultrasound study of the heart allowing a detailed analysis of the condition of your heart and the aortic valve). It will be necessary to perform a coronary angiography (evaluation of the condition of the coronary arteries) and especially a CT scan of the aorta and the femoral and iliac arteries. These are tests carried out daily in cardiology. During these tests, the diameter of your aortic annulus (the structure to which the aortic valve is attached) and that of your femoral arteries will be calculated in order to determine if the arterial approach is possible. Only after these tests have been carried out will it be known whether the artificial valve can be implanted. Implantation of the bioprosthesis and hospital monitoring: The femoral artery is accessed by simple puncture and will be closed as far as possible by a percutaneous automatic closure system. After the valve is implanted, you will be admitted to the cardiology intensive care unit for monitoring. In this unit, blood tests will be performed daily and an echocardiogram will be recorded to check that the valve is functioning properly. You will then be transferred to the cardiology unit as soon as your condition is stable. The average hospital stay is 3 days. Expected benefits: Based on our current knowledge, and taking into account your clinical condition, the placement of this valve appears to be the best possible solution to improve your symptoms and reduce the risks of your disease in a more sustainable way. The expected benefits of this therapeutic procedure are a rapid improvement in your symptoms (shortness of breath, chest pain, discomfort), an improvement in the contractility and functioning of your heart and, more generally, an improvement in your quality of life. Risks and side effects: The risks of the procedure are those of cardiac catheterization, coronary angiography , aortic valve dilatation (a test that has been performed for many years), to which are added the potential risks associated with the implantation of the valve itself. The potential complications associated with these therapeutic procedures are: cardiac rhythm disorders, vascular complications at the catheter insertion site (hematoma, perforation or arterial obstruction that may require surgical repair), myocardial infarction, embolization of valve material or clots, aortic dissection (tear of the aortic wall), perforation of a heart chamber, stroke, renal failure, endocarditis (infection on the valve), valve displacement, leakage around the valve, valve dysfunction, bleeding requiring transfusion, need for emergency surgery for coronary artery bypass grafting or aortic valve replacement, death . Aortic valve stenosis TAVI 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

Les différentes solutions thérapeutiques interventionnelles aux pathologies cardiaques congénitales et acquises: Coronarographie, angioplastie coronaire, cathétérisme droit, dilatation de la valve aortique / pulmonaire / mitrale. Perforation de la valve pulmonaire, TAVI, fermeture de FOP / CIA / CIV / fuite périprothétique. Fermeture et stenting canal artériel persistant, manœuvre de Rashkind, stenting de coarctation de l'aorte, ablation septale, récupération au lasso, embolisation vasculaire. Dr Réda JAKAMY Interventional Structural Cardiologist Contact: : +212 (0) 6 22 22 26 31 info@jakamyheartcenter.com For our patients Welcome to Jakamy Heart Center! We are committed to providing the best care to all of our patients. Our mission is to ensure that you receive the highest quality treatment and personal attention throughout your medical journey. At Jakamy Heart Center, we understand that every patient is unique and requires personalized care. We are committed to addressing your specific needs and concerns, guiding you toward a successful recovery. Areas of expertise Pediatric and congenital invasive cardiology Structural invasive cardiology Invasive coronary cardiology Geriatric invasive cardiology Diseases treated in pediatric and congenital cardiology Transposition of the great arteries with neonatal cyanosis Congenital aortic valve stenosis Pulmonary valve stenosis Pulmonary atresia with intact ventricular septum Coarctation of the aorta Patent ductus arteriosus Atrial septal defect Ventricular septal defect MAPCAs and veno-venous collaterals Ductal-dependent congenital heart disease Pulmonary hypertension Diseases treated in structural cardiology Degenerative calcified aortic valve stenosis Rheumatic mitral stenosis Pulmonary valve stenosis Coarctation of the aorta Cryptogenic ischemic stroke Atrial septal defect Ventricular septal defect Patent ductus arteriosus Paravalvular leak Hypertrophic obstructive cardiomyopathy Accidental migration of intracardiac or vascular material Diseases treated in coronary cardiology Angina on exertion Myocardial infarction Diseases treated in geriatric cardiology Pulmonary hypertension Degenerative calcified aortic valve stenosis Paravalvular leak

La coronarographie est un examen diagnostique qui permet de visualiser les artères coronaires et rechercher des obstructions. The coronary arteries "The coronary arteries originate at the base of the aorta and divide into two parts: a left coronary network and a right coronary network. Coronary angiography image Coronary arteries of the left network. CORONAROGRAPHY Why are you being offered a coronary angiography? Coronary artery disease can cause angina (chest pain), myocardial infarction, heart failure (which often results in shortness of breath) and can eventually lead to death. The progression can be largely slowed down by appropriate treatment, so it is important to make an accurate diagnosis. Coronary angiography allows us to make an accurate assessment of the damage to your coronary arteries (narrowing or occlusion) by means of an X-ray examination. Performing coronary angiography: Coronary angiography is performed in the catheterization room. The patient is conscious and lying flat. The doctor performs an arterial puncture under local anesthesia at the wrist or groin. It is from this route that the doctor introduces the probes to explore the coronary arteries. The examination is not painful and lasts on average 30 minutes. In the absence of complications, the patient returns to his room and is monitored for 2 to 4 hours until discharge. Are there any risks associated with coronary angiography? Despite technical progress and the experience of doctors, cardiac catheterization and coronary arteriography, as with any invasive or surgical procedure, carry a risk of incidents or accidents: Allergic complications: Most often linked to the use of iodinated radiological product or local anesthetic. If you have already had allergic manifestations, it is imperative to inform your doctor. Complications at the artery puncture site: The most common complication is the formation of a bruise or hematoma at the puncture site which may persist for several days, but is usually without consequence. Cardiac and vascular complications: During the examination, discomfort, chest pain, palpitations related to a rhythm disorder may occur. Serious complications are very rare. As an indication, in a review published in the medical literature, on a large series of patients, we note a risk of death of 0.2/1000, of neurological disturbances (notably paralysis) of 0.4/1000, of myocardial infarction of 0.3/1000. Other less severe complications have been reported, their frequency is less than 1%. What benefits can be expected from coronary angiography? Depending on the results of the coronary angiography and the overall clinical assessment, medications may be prescribed to you. Based on the observed lesions, it is possible that a revascularization procedure will be proposed after discussion with your cardiologist and/or your primary care physician: coronary artery bypass surgery or coronary angioplasty . Coronary angiography will help determine the most appropriate treatment for your condition, in order to reduce the risk of future complications and improve your quality of life. Coronary angiography Our location Make an appointment LUH Ambassadors : +212 (0) 6 22 22 26 31 Appointment Monday - Friday: 8 a.m. - 3:30 p.m. info@jakamyheartcenter.com Visit us Demande d'information 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 all your questions. 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 you for your submission ! map