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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

Le cathétérisme droit pédiatrique 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 et/ou interventionnel adéquat dans le cas de cardiopathie congénitale. 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 pediatrics What is right heart catheterization? Right heart catheterization, abbreviated as RHC, is a procedure performed to check the functioning of your heart muscle. During this procedure, readings of cardiac and arterial pressure are taken, and blood samples are collected to measure oxygen levels in the heart. This examination is useful for identifying the cause of pulmonary hypertension, determining its treatment, and deciding on heart surgery in the case of congenital heart diseases. Should the child be kept fasting? Absolutely. For children under 16, the examination is performed under general anesthesia to prevent them from moving during the examination. It is imperative that they fast for at least 6 hours for solids and 3 hours for liquids. We try to do the children first so as not to leave them fasting for a long time. Performing pediatric straight catheterization: Pediatric right catheterization 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 balloon catheter. The catheter is guided to the different heart chambers, to take pressure measurements and take a few milliliters of blood for analysis. Depending on the initial results, they may need to be repeated a second time under high oxygen therapy combined with nitric oxide. At the end of the procedure, gentle 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 full consciousness is regained and then returned to the parents. Feeding is only allowed two hours after the end of the procedure to avoid the risk of choking. Discharge can be done the same day 4 hours after the end of the procedure. Are there any risks with right heart catheterization? Straight catheterization 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 at the time the catheter is placed in the heart. It is very rare for this to cause problems, or to persist after the test is completed. The risk of serious complications is very rare (less than 1%). General anesthesia for congenital heart disease itself has its share of complications, but when the indication for right catheterization is established, the benefit of the examination far outweighs the risks. 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 your for your submission! Demande d'information

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