Bentall Procedure
The Bentall procedure is a highly advanced cardiac surgery used to treat life-threatening conditions of the aorta and aortic valve. It involves replacing the diseased section of the aortic root and valve with a composite graft, which combines a mechanical or biological valve and a synthetic tube graft. The procedure is also performed with reimplantation of the coronary arteries into the graft, ensuring normal blood flow to the heart muscle.
This surgery is considered a gold standard for treating complex aortic aneurysms, aortic dissections, or severe aortic valve disease. With advancements in cardiac surgery, patients undergoing the Bentall procedure in India can expect high success rates, shorter recovery times, and affordable treatment options.
When is the Bentall Procedure Needed?
The Bentall operation is typically recommended when both the aortic root and the aortic valve are diseased. Some conditions that may require this surgery include:
- Aortic root aneurysm – dangerous dilation of the aortic root
- Aortic dissection – a tear in the wall of the aorta
- Marfan syndrome and other connective tissue disorders
- Severe aortic valve stenosis or regurgitation with aortic root involvement
- Congenital heart defects affecting the aorta and valve together
Symptoms That May Lead to the Surgery
Patients suffering from advanced aortic disease often present with:
- Severe chest pain or pressure
- Shortness of breath
- Fatigue and dizziness
- Heart palpitations or irregular heartbeat
- Fainting spells (syncope)
- Signs of heart failure such as leg swelling or fluid retention
How is the Bentall Procedure Performed?
The Bentall surgery is carried out under general anesthesia and requires the use of a heart-lung bypass machine. The key steps include:
- Incision & Preparation – A chest incision is made to access the heart.
- Replacement of the Aortic Root & Valve – The diseased aortic root and valve are removed.
- Insertion of a Composite Graft – A synthetic tube graft with a mechanical or biological valve is sewn into place.
- Reimplantation of Coronary Arteries – The coronary arteries are carefully attached to the graft to restore normal blood flow.
- Closure & Recovery – The chest is closed, and the patient is shifted to the ICU for recovery and monitoring.
Types of Bentall Procedure
There are two main approaches to the Bentall operation:
- Mechanical Bentall Procedure – Uses a mechanical valve that lasts a lifetime but requires lifelong anticoagulation (blood-thinning medications).
- Biological Bentall Procedure – Uses a tissue valve that does not require lifelong anticoagulants but may need replacement after 15–20 years.
Risks and Complications
As with any major heart surgery, there are risks, although modern techniques have significantly reduced them. Possible complications include:
- Bleeding or infection
- Stroke or blood clot formation
- Irregular heart rhythms
- Graft leakage or dysfunction
- Kidney complications
Recovery and Life After Bentall Procedure
Recovery from the Bentall operation requires patience, care, and regular follow-up. Patients usually resume daily activities within 6–8 weeks. Long-term care may include:
- Regular cardiac check-ups and imaging
- Blood-thinning medications (if mechanical valve is used)
- A heart-healthy diet and exercise plan
- Stress management and lifestyle modifications
Why Choose CureU Healthcare for the Bentall Procedure in India?
At CureU Healthcare Services, we connect patients with top cardiac surgeons and internationally accredited hospitals across India. From diagnosis to surgery and rehabilitation, our team ensures personalized care, transparent cost packages, and end-to-end assistance for international patients.
Conclusion
The Bentall procedure is a life-saving surgery for patients with complex aortic and valve disorders. By addressing both the aortic root and valve, it prevents life-threatening complications while restoring normal cardiac function. With India offering world-class treatment at affordable costs, patients can undergo this surgery with confidence and improved long-term outcomes.
