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La fermeture de communication interventriculaire (CIV) est une procédure de cardiologie interventionnelle qui consiste à fermer grâce à des prothèses la communication acquise ou congénitale entre les ventricules. Elle permet d'éviter les risques d'une chirurgie classique de fermeture avec patch sous circulation extracorporelle. Ventricular septal defect A ventricular septal defect is a hole between the ventricles. Ventricular septal defect closure devices VSD Closure Percutaneous closure of ventricular septal defect using a device. CLOSURE OF VENTRICULAR SEPTAL DEFECT in adults What is a ventricular septal defect? In the normal heart, the wall that separates the right and left ventricles, called the " interventricular septum ", is completely hermetic. A ventricular septal defect (VSD) is the presence of a more or less large orifice in this wall, allowing blood to pass directly from one ventricle to the other. VSDs can be congenital (i.e. present at birth) or acquired following a myocardial infarction. The consequences of this malformation depend essentially on the size of the communication and the speed at which it develops. A VSD following a myocardial infarction is generally very serious and its closure can only be considered if the patient's condition remains stable for one month. Congenital VSDs that occur in adulthood will require an evaluation by a right heart catheterization before deciding to close them. So why is the closure of VSD is being proposed? Restore normal circulation: Closing the VSD restores normal blood circulation. Oxygenated blood can then be distributed efficiently throughout the body, without overloading the lungs. Preventing complications: Persistence of VSD can lead to complications, such as lung infections, valve infections, heart failure, and pulmonary arterial hypertension . Improve quality of life: By closing the VSD, the patient's quality of life is improved by avoiding the symptoms associated with this malformation (shortness of breath). Implementation of the CIV Closure: Your examination takes place in the interventional cardiology unit. When you are admitted to the cardiology department, you will be asked to put on a hospital gown. You will need to remove all jewelry, underwear and socks. A small area of your groin will be shaved which will be the entrance route for the examination. A stretcher-bearer will take you to the catheterization room in your bed. You will be helped onto a narrow, hard table. It will be a little cold in the room. Around you, you will see X-ray machines and monitors. Small sticky patches will be placed on your chest. These will be connected to a heart monitoring machine. Your body will be covered with a large sterile drape. The procedure involves implanting a metal mesh prosthesis into the VSD. This flexible prosthesis is implanted by cardiac catheterization via a puncture of the femoral vein and artery under local anesthesia. General anesthesia may be performed if a transesophageal ultrasound is deemed necessary. In the absence of complications, the patient returns to his room and is monitored for 4 to 6 hours. Discharge is possible the next day after an ultrasound check. What are the complications of a VSD closure procedure? Despite the experience of the operators and the significant technical progress concerning catheters and prostheses, 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 prosthesis, which may require additional intervention, sometimes surgical. Cardiac complications after hospital discharge : Very rarely, displacement of the prosthesis 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 VSD closure usually outweigh the risks. Ventricular septal defect Closure of ventricular septal defect 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 du canal artériel est une procédure néonatale d'urgence dans les cardiopathies cyanogènes. Elle consiste à mettre un stent dans le canal artériel pour le garder ouvert et ainsi maintenir un débit suffisant au développement des artères pulmonaires. Normal heart Pulmonary atresia with intact ventricular septum The communication between the right ventricle and the pulmonary artery is closed. Blood goes from the right heart to the left heart through the foramen ovale. The ductus arteriosus is the only source of vascularization of the pulmonary circulation. Coronary stent Actual size of a stent used to keep the ductus arteriosus open. DUCTUS ARTERIOSIS STENTING in the newborn What is the ductus arteriosus? The ductus arteriosus is a normal connection between the aorta and the pulmonary artery in the fetus, allowing blood to bypass the lungs and go directly to its organs. However, after birth, blood must be oxygenated by the lungs, and the ductus arteriosus closes quickly, usually within a few days to two weeks. In some congenital pathologies (such as the example on the right of pulmonary atresia with intact ventricular septum ) affecting the pulmonary circulation, the lungs do not receive enough blood flow which causes desaturation in the newborn with a risk of death in the very short term. The ductus arteriosus then allows to maintain a sufficient supply of blood flow to the pulmonary circulation. To keep it open, stenting of the ductus arteriosus can be proposed. So why is ductus arteriosus stenting proposed? There are three ways to maintain sufficient flow to the pulmonary circulation: drug method: prostaglandin infusion. The advantage is the absence of invasive procedures. The disadvantage is the countless side effects of the medication. It is not advisable to leave it for more than a week. Interventional method: stenting of the ductus arteriosus. The advantage is that it is an invasive procedure without surgery. The disadvantage is the complications of the femoral arterial route. Surgical method: Blalock surgery. The advantage is that it is the oldest method. The disadvantage is the complications of surgery. Stenting of the ductus arteriosus in surgically risky situations may be the best alternative. Procedure for Stenting the Arterial Duct: The examination takes place in the interventional cardiology unit. The child is laid flat and placed under general anesthesia to prevent movement during the procedure. The doctor performs an arterial puncture in the groin area and inserts a thin catheter. The catheter is guided to the heart. The stent is deployed in the arterial duct to keep it open. At the end of the procedure, pressure is applied to the groin area for about ten minutes, and a compressive bandage is placed. The child is monitored in the recovery room until they fully regain consciousness and are then returned to their parents. Feeding is only allowed two hours after the end of the procedure. What are the complications of a ductus arteriosus stenting procedure? Despite the experience of the operators and the significant technical progress concerning catheters and prostheses, 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 that is usually harmless and disappears after a few days. Sometimes, a vascular injury may require surgical repair or transfusion. Thrombosis of the artery may also occur. Complications leading to death : They are not rare, but the natural evolution of these pathologies leads to death in the very short term in the absence of intervention. Stenting remains a life-saving procedure. What benefits can be expected after ductus arteriosus stenting? Stenting of the ductus arteriosus allows normal height and weight growth, to be expected for a few months, after the next surgical step of correction of the congenital heart disease. 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

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 Congenital and 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

Dr Réda JAKAMY Cardiologue interventionnel structurel Cardiologie pédiatrique et adulte Dr. Réda JAKAMY Congenital and Interventional structural cardiologist The Jakamy Heart Center aims to be at the forefront of innovative treatments and patient-centered services. The motto of the Jakamy Heart Center is “expertise at your service”. Expertise is the commitment to continuing education for excellence in cardiovascular care. Serving patients requires the dedication of a team of medical and paramedical staff who actively participate in guaranteeing our patients the highest quality care. You can ask your questions or make an appointment in the contact section. Education Diplomas Silver Medal, Faculty of Medicine Laureate Paris VI Interventional cardiology Paris V Pediatric and congenital cardiology Bordeaux Publications ORCID Affiliations Moroccan Association of Private Cardiologists European society of cardiology European association of percutaneous cardiovascular intervention Pediatric and adult interventional cardiac symposium

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

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

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

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

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

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 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 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