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Bentall surgery has reshaped the landscape of cardiac care. The cutting-edge technique, named after its visionary creator, Dr. Hugh Bentall, gives hope to patients with aortic aneurysms and valve problems. With extensive experience, advanced technology, and unwavering dedication, Bentall surgery empowers patients to live life to the fullest. Explore the transformative power of Bentall surgery, where every beat counts and every life is precious.
This procedure involves the replacement of three things:
● Aortic root (base of the aorta)
● Aortic Valve
● Aortic Ascending Segment (to ensure normal blood flow)
This gold-standard procedure has significantly improved the prognosis of patients suffering from aortic aneurysms and other related conditions. Let us explore this procedure in detail, including its indications, surgical technique, pre and post-operative care, and the best Indian surgeons performing this technique in India.
Indications
Your doctor may recommend a Bentall procedure if you have problems with your aorta. The most common problems are:
● Aortic Regurgitation
● Aortic Aneurysm
● Aortic Dissection
● Marfan Syndrome
Sometimes patients may develop other problems in their aorta for various reasons. This may be due to:
● Autoimmune diseases
● Congenital heart problems
● Infection
● High blood pressure
● Physical Trauma
Diagnosis
For doctors to evaluate if you need a Bentall procedure, the following tests are required:
● Chest X-Ray
● Transthoracic Echocardiography
● CT scan
● Cardiac MRI
Before the Surgery
● Before the surgery is planned, you will have to get clearance from the physician that you are in good condition for the surgery.
● You will have to undergo tests like CBC, ECG, and other basic blood work.
● You will have to decide with your surgeon if you want a mechanical valve replacement or a valve made of synthetic or biological material.
● Check with your doctor about the medications you are taking. Some medications need to be stopped before the surgery.
● Ensure your bowels are open, and ask for a laxative if required.
● Make sure to stop eating or drinking before the surgery.
During the Surgery
● Anesthesia: You will be under general anesthesia during the surgery. A chestline incision is made to access the heart and aorta.
● Cardiopulmonary Bypass: You will be connected to a heart-lung machine temporarily performing the heart’s function.
● Aortic Root Excision: The diseased aortic root is removed, and the aortic valve is removed.
● Valve Replacement: Based on your decision, a mechanical or biological valve will be placed to restore proper blood flow.
● Re-establishing Coronary Arteries: The coronary arteries, which supply blood to the heart, will be reattached to the graft to ensure proper oxygen supply.
● Closing Incision: After ensuring proper heart function, the chest incision is closed.
After the Surgery
● After the procedure, you will stay in the ICU for three to four days.
● You can sit out of bed two days after the surgery.
● After four days in ICU, you will be shifted either in cardiac ward or in step down ICU for regaining daily activities.
● This depends on hospital to hospital policies.
During your stay in the cardiac ward, be aware of the following things:
● Take care of your wound properly
● You can become constipated. Make sure you eat plenty of fruits and vegetables.
● You will feel tightness in the chest and pain in the incision site. Take your painkillers at a time.
● You can have a fever, palpitations and anaemia (Due to blood loss) after the surgery. These symptoms will settle down in 4 – 8 weeks after the surgery.
● It will take 6 to 8 days to regain mobility.
● You will be discharged from the hospital after eight day of the surgery.
Coping with Recovery
● Bentall Surgery is a major surgery. Give yourself time to recover.
● You may also consult cardiac rehabilitation to get yourself moving.
● Your dressing will be changed twice in a week
● Your stitches will be removed on 14th day of the surgery in case your wound is healed properly.
Long term Care
● If you have high blood pressure, take your medicines on time after the surgery.
● Quit smoking and drinking
● If you have had a mechanical valve replacement, you must take anti-coagulation medicines your entire life.
● You will need three months iron and folic acid to counter your anaemia
● You will be needing chest belt for three months if you had sterniotomy done.
● You are not allowed to bend forward untill three months
● You are not allowed to lift the weight
● You are not allowed to eat green leafy vegetables in case you are on anti-coagulant medicines, this may lead to bleeding
What is a Synthetic Graft?
Bentall surgery uses synthetic grafts, which are man-made tubes typically made of polyester or Dacron. Basically, it replaces the aortic root, which is the base of the aorta, if it’s damaged. The surgeon removes the damaged aorta and replaces it with a synthetic graft. Grafts are carefully sutured to healthy aorta segments and connected to the heart, so blood flows through the aortic valve and into the graft, bypassing the weakened area. It restores normal blood flow to the heart and keeps the aneurysm from expanding or rupturing. Aortic aneurysms and issues with the aortic valve can be treated with synthetic grafts in Bentall surgery.
Benefits of Bentall Surgery
● Bentall surgery is a life-saving procedure for patients with aortic aneurysms.
● It prevents recurrent aneurysms.
● It can significantly improve a patient’s quality of life.
● It improves overall cardiovascular function by restoring normal blood flow.
● It includes aortic valve replacement, which addresses problems like severe aortic valve regurgitation.
● Using high-quality synthetic grafts and mechanical or biological valves provides long-term durability.
● By repairing the weakened aortic wall, Bentall surgery reduces the risk of aortic dissection, a life-threatening condition where a tear occurs in the aortic wall.
● With advancements in surgical techniques and post-operative care, the Bentall procedure has excellent survival rates.
Hospital |
Best Doctor |
Cost |
(JCI Accreditation) |
Dr Bhaba Nanda Das – Chief Cardiac Surgeon Experience 38 years | 12000 USD |
Fortis Escorts Heart Institute
(JCI Accreditation)
|
Dr Z.S. Meherwal – Executive Director (CTVS) Experience 30 years). | 14000 USD |
Max Super Speciality Hospital, Saket,
(JCI Accreditation) |
Dr Rajneesh Malhotra – Principal Director – Cardio Thoracic & Vascular Surgery Cardiac Sciences,
(Experience 35 years). |
15000 USD |
Bentall procedure is a complex and highly successful surgical intervention for the treatment of aortic root pathology. Patients with life-threatening cardiovascular conditions can now have a better prognosis with this life-saving procedure. As surgical techniques and post-operative care have improved, the Bentall procedure continues to play a crucial role in modern cardiac surgery.
Cross Border Care is here for you if you are looking for trustworthy treatment consultants in India. We will help you find the best doctor in India and get your treatment done for JCI-accredited hospitals at the most pocket-friendly rates. Our team includes experienced medical professionals with you at each treatment step. So, if you are planning your Bentall surgery, fill out the form below, and we will help you to choose the best doctor and hospital providing state-of-art-technology.
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