Bentall

Bentall procedure is a type of cardiac surgery that involves the replacement of the aortic valve, aortic root and ascending aorta, with re-implantation of the coronary arteries into the graft. This surgery is used to treat patients with combined aortic valve and ascending aorta disease, including lesions associated with Marfan syndrome.

History

The procedure is named after Hugh Bentall, a British cardiac surgeon who first performed the operation in 1968. The original operation was performed using a composite graft, with a mechanical aortic valve sewn into a Dacron graft. The coronary arteries were then re-implanted into the graft.

Procedure

The Bentall procedure is performed under general anaesthesia and requires a median sternotomy for access to the heart. The patient is placed on Cardiopulmonary bypass and the heart is stopped using Cardioplegia. The diseased aortic valve, aortic root and ascending aorta are removed and replaced with a composite graft. The coronary arteries are then re-implanted into the graft. The operation is completed by closing the sternotomy.

Risks and Complications

Like all major surgeries, the Bentall procedure carries risks. These include stroke, heart attack, bleeding, infection, kidney failure, and death. The risk of complications is higher in older patients and those with other medical conditions.

See Also

• Aortic dissection
• Aortic aneurysm
• Marfan syndrome
• Cardiac surgery

References

Bentall Resources
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