Bentall Surgery – Procedure, Complications, Recovery & Cost

Dr.Amrish Kumar, 5 mins read

What is a Bentall Surgery:

Bentall Surgery is a procedure usually performed to repair an ascending aortic or aortic root aneurysm in combination with aortic valve disease. Throughout the procedure, a composite aortic valve graft is employed to substitute the proximal ascending aorta and aortic valve. This surgery is performed through a median sternotomy through a cardiopulmonary bypass.

The Bentall procedure is a sort of serious open-heart surgery required to repair the aortic root and the aortic valve, such as might be needed for an aortic aneurysm in this part of the aorta. The procedure is named after Hugh Bentall, who first performed and described it in 1968.

The Bentall surgery is prescribed for the following conditions of the aorta:

• Aortic Regurgitation: Leaking of the aortic valve
• Marfan's syndrome: Aortic dissection Aortic dissection
• Aortic dissection: Genetic disease that leads to aortic wall weakness Separation of the aortic wall layers
• Aortic aneurysm: Extended Growth of the aorta

Bentall Procedure:

The Bentall surgery is performed under general anaesthesia. While the surgery is carried out, an incision is made along the middle of the chest to access the heart. Any activity of the heart is momentarily halted by a surgeon to conduct the operation, and blood flow is redirected to a heart-lung machine.

The diseased part of the patient's aorta is removed and the valve is examined. The coronary arteries, with a substantial portion of the surrounding wall of the aorta, are also inspected. Here, an artificial graft that has a mechanical or bioprosthetic valve is sutured at the limits of the aorta. Then, two holes are made in the graft, and the coronary artery buttons are sewn into it.

Most noteworthy, the valve replacement will be assessed by the cardiac surgeon by gushing some blood into the area and examining for any kind of leakage. Once the replacement is done completely, the incision is sealed.

Purpose of the Bentall Surgery:

Most importantly, considering the risk that the aneurysm will start to dissect is crucial. Such means that the layers of the blood vessel will commence separating.

This process can cause the artery to burst, leading to a life-threatening emergency. To counteract this, some invasion, such as the Bentall procedure, is essential. Bentall surgery may also be needed as an emergency surgery if an aneurysm has already ruptured.

Imaging:

To evaluate whether a Bentall procedure is needed, you will need some medical imaging. Based on the circumstances, this might mean one or more of the following:

• Chest X-ray
• Transthoracic echocardiography
• Computerized tomography (CT) scan
• Magnetic resonance imaging (MRI)

During these imaging routines, the cardiac surgeons can verify the specific anatomy and assess whether the Bentall procedure is the most reliable way for you to go.

Bentall Surgery Success Rate:

Similar to all forms of open-heart surgery, the Bentall procedure has built-in risks. This is a dangerous intervention, and regrettably, not everyone survives. Some studies cited the chances of death within 30 days of hospitalization is at around 5%.

Bentall Surgery Complications:

The prospects of possible complications incorporate the following:

• Abnormal heart rhythm
• Low cardiac output
• Heart attack
• Stroke
• Infection
• Internal bleeding
• Sudden kidney failure
• Prolonged need for mechanical ventilation
• Fresh aortic aneurysm or dissection of the aorta

You may have a greater risk of certain of these complications if you have other medical conditions or if your existing heart condition is particularly severe. Providentially, the risks of some of these complications have decreased since the procedure was performed first, due to improved surgical techniques.

Bentall Surgery Recovery:

After the surgery, the patient is shifted to the post anaesthesia care unit and put on a ventilator where his/her vitals are monitored. Before the discharge, the treating doctor provides a set of instructions to be followed such as:

• Improving physical activity progressively as tolerable.
• Bypassing any strenuous activity/exertion for up to 12 weeks after the surgery.
• Also, do not elevate any sort of heavyweights for the first few weeks after the surgery.

Bentall Surgery Cost:

Bentall surgery is the most common method that is performed to correct deformities of the aorta. In India, Bentall surgery is done at an affordable cost. The cost of this surgery varies based on the hospital you choose, the city of surgery and other factors such as the stage of the disease.

Most noteworthy, it is recommended to respect various aspects if you have a problem with the aorta and aortic valve that force benefit from the Bentall procedure. Surgery might or might not be the most suitable option, depending on the situation.

Apart from that, there are various choices related to the surgical options, including whether to have a Bentall procedure specifically and whether to receive a mechanical valve. Discuss all the pros and cons with our best cardiac surgeons in Delhi at Akash Healthcare.

If you are looking for the best hospitals for Bentall surgery in Delhi, make an appointment today with Aakash Healthcare. It is one of the best heart hospitals in Delhi and has some of the best Bentall procedure doctors in Dwarka Delhi.

Also Read: Open Heart Surgery – an overview