About Bentall Procedure
Key Highlights
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Comprehensive single-stage repair of the aortic valve, root, and ascending aorta.Effectively treats complex, life-threatening aortic conditions like aneurysms and dissections.Prevents the risk of fatal aortic rupture or further dissection.Can be performed with either mechanical (long-lasting, requires blood thinners) or biological (no blood thinners needed) valve options.Significantly improves long-term survival and quality of life for eligible patients.Standardized technique with proven durability over decades./ul
Who is this surgery for?
- Aortic root aneurysm (dilation) greater than 5.0-5.5 cm, or smaller in patients with connective tissue disorders like Marfan syndrome.
- Acute Type A aortic dissection (a tear in the inner layer of the aorta).
- Severe aortic valve regurgitation (leakage) combined with an aortic root aneurysm.
- Connective tissue disorders (e.g., Marfan syndrome, Loeys-Dietz syndrome, Ehlers-Danlos syndrome) affecting the aorta.
- Failed previous aortic valve or root surgery requiring reoperation.
- Annuloaortic ectasia (weakening and dilation of the aortic root).
- Infective endocarditis (infection) of the aortic root that has caused destruction or an abscess.
How to prepare
- Comprehensive diagnostic tests including echocardiogram (TTE/TEE), CT angiography, or MRI of the aorta.
- Detailed cardiac evaluation to assess overall heart function and coronary artery health.
- Consultation with the cardiac surgeon, anesthesiologist, and often a cardiologist to discuss the procedure, valve choice, and risks.
- Pre-operative blood tests, chest X-ray, and ECG.
- Management of existing medications; blood thinners like warfarin may need to be stopped days before surgery.
- Fasting for 8-12 hours prior to the scheduled surgery time.
- Pre-operative shower with antiseptic soap to reduce skin bacteria.
- Psychological preparation and discussion of post-operative recovery expectations.
Risks & possible complications
- Bleeding requiring reoperation or blood transfusion.
- Infection of the surgical site, sternum (sternal wound infection), or the new graft/valve (endocarditis).
- Stroke or transient ischemic attack (TIA) due to blood clots or air emboli.
- Heart attack (myocardial infarction).
- Irregular heart rhythms (arrhythmias), potentially requiring a temporary or permanent pacemaker.
- Kidney failure, often temporary.
- Lung complications such as pneumonia or pleural effusion.
- Blood clot formation (thrombosis) on the mechanical valve if anticoagulation is inadequate.
- Graft infection or pseudoaneurysm formation (rare but serious).
- Risks associated with general anesthesia and cardiopulmonary bypass.
Recovery & hospital stay
- Initial 1-2 days in the Cardiac Surgical Intensive Care Unit (ICU) for close monitoring of heart, lungs, and vital signs.
- Hospital stay typically lasts 7-14 days for pain management, wound care, and initiation of physical therapy.
- Patients with a mechanical valve will begin lifelong anticoagulant medication (e.g., warfarin) to prevent clots, requiring regular blood test monitoring (INR).
- Incision (sternotomy) care is crucial; patients must avoid lifting heavy objects (more than 5-10 kg) or strenuous activity for 6-8 weeks to allow the breastbone to heal.
- Cardiac rehabilitation is strongly recommended, a supervised program of exercise and education to regain strength and reduce future heart risks.
- Regular follow-up appointments with the surgeon and cardiologist, including periodic imaging (echocardiograms, CT scans) to monitor the graft and valve function.
- Full recovery to normal activities may take 3 to 6 months, depending on the patient's overall health and age.
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Typical hospital stay: 7-14 days
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Expected recovery time: 3-6 months
Frequently Asked Questions
If you are considering bentall procedure in India, these questions and answers can help you make a confident, informed decision.
Popular choices for bentall procedure in India include Miot Hospital Chennai, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform bentall procedure. MediFyr helps you compare cardiac surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for bentall procedure compare across other countries where we have data.
Top hospitals for Bentall Procedure in India
These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing bentall procedure.
Robert Shah, a 58-year-old high school...
Robert Shah, a 58-year-old high school history teacher and avid hiker, had always been active and healthy. Over the past year, he began experiencing crushing chest pain, shortness of breath on his morning walks, and dizzy spells. A cardiologist diagnosed him with a severely dilated aortic root and a leaking aortic valve due to a bicuspid aortic valve he was born with but never knew about. The doctor explained that without the Bentall procedure, replacing his aortic root, valve, and re-implanting his coronary arteries, he was at high risk for a fatal aortic dissection. Robert was terrified; surgery felt like an assault on his identity as an active man. The surgery was long but successful. Recovery in the hospital was grueling, filled with pain and frustration at his weakness. However, after three months of cardiac rehab, his energy returned. The chest pain was gone, and he could hike familiar trails again, albeit more slowly. The experience transformed his perspective from fear to profound gratitude. He felt he had been given a second chance, valuing each day with his family and students with renewed depth.
Cardiac surgeons for Bentall Procedure
Explore experienced cardiac surgeons who regularly perform bentall procedure and provide pre- and post-operative care in India.
- 31 Years Experience
- Pediatric Cardiac surgeon
Miot Hospital Chennai, Chennai
- 37 Years Experience
- Cardiac surgeon
Miot Hospital Chennai, Chennai
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Cardiac surgeon
- 31 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Vijayawada, vijayawada
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 8 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 17 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore