Skip to main navigation Skip to main content Skip to footer For Medicare For Providers For Brokers For Employers Español For Individuals & Families: For Individuals & Families Medical Dental Other Supplemental Explore coverage through work How to Buy Health Insurance Types of Dental Insurance Open Enrollment vs. Special Enrollment See all topics Shop for Medicare plans Member Guide Find a Doctor Log in to myCigna
Home Knowledge Center Wellness Library Valvuloplasty for Mitral Valve Stenosis

Valvuloplasty for Mitral Valve Stenosis

Treatment Overview

Valvuloplasty is a treatment for mitral valve stenosis. It is a procedure that widens the mitral valve so that blood flows more easily through the heart. It's also called a balloon commissurotomy or valvotomy.

It's a minimally invasive procedure. You may get medicine that relaxes you or puts you in a light sleep. You won't feel pain when the catheter is put in the blood vessel. A doctor uses a thin flexible tube (catheter) that is inserted through an artery in the groin and threaded into the heart.

When the tube reaches the narrowed mitral valve, a balloon device located on the tip of the catheter is quickly inflated. The narrowed or fused mitral valve leaflets are separated and stretched open as the balloon presses against them. This process increases the size of the mitral valve opening. And it allows more blood to flow from the left atrium into the left ventricle.

Why It Is Done

Why It Is Done

Valvuloplasty might be recommended if you have severe stenosis and the mitral valve looks like it can be repaired with this procedure. You and your doctor may talk about a few other things to help decide if the procedure is right for you. These things include your overall health and whether you have symptoms.footnote 1

Valvuloplasty is not a good option if you have blood clots in the left atrium, a lot of calcium buildup of the mitral valve, or moderate to severe mitral valve regurgitation.footnote 1

Learn more

How Well It Works

How Well It Works

A valvuloplasty doesn't cure the condition or make the valve normal. It helps the valve function normally to let blood flow through the heart. The improved blood flow relieves symptoms. Blood pressure inside the left atrium decreases.

Risks

Risks

During the procedure

Risks during the procedure aren't common. But problems can include injury to the heart and stroke.

Problems caused by the catheter may include:

  • Pain, swelling, and tenderness at the catheter insertion site.
  • Irritation of the blood vessel by the catheter. This can often be treated with warm compresses.
  • Bleeding at the catheter site.
  • A bruise where the catheter was inserted. This usually goes away in a few days.

After the procedure

Complications that happen after a valvuloplasty include:

  • Mitral valve regurgitation. The valve might be damaged so that it doesn't close normally and allows blood to leak backward in the heart.
  • Restenosis. The valve can become narrow again. You may choose to have another valvuloplasty or valve replacement surgery.
References

References

Citations

  1. Otto CM, et al. (2020). 2020 ACC/AHA guideline for the management of patients with valvular heart disease. Circulation, published online December 17, 2020. DOI: 10.1161/CIR.0000000000000923. Accessed December 17, 2020.

Current as of: October 2, 2023

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

This information does not replace the advice of a doctor. Ignite Healthwise, LLC, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

© 2024 Ignite Healthwise, LLC. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Ignite Healthwise, LLC.

<cipublic-spinner variant="large"><span>Loading…</span></cipublic-spinner>

Page Footer

I want to...

Get an ID card File a claim View my claims and EOBs Check coverage under my plan See prescription drug list Find an in-network doctor, dentist, or facility Find a form Find 1095-B tax form information View the Cigna Glossary Contact Cigna

Audiences

Individuals and Families Medicare Employers Brokers Providers

Secure Member Sites

myCigna member portal Health Care Provider portal Cigna for Employers Client Resource Portal Cigna for Brokers

The Cigna Group Information

About Cigna Healthcare Company Profile Careers Newsroom Investors Suppliers The Cigna Group Third Party Administrators International Evernorth

 Cigna. All rights reserved.

Privacy Legal Product Disclosures Cigna Company Names Customer Rights Accessibility Non-Discrimination Notice Language Assistance [PDF] Report Fraud Sitemap Cookie Settings

Disclaimer

Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.

Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details