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Bentall Procedure

An aorta is a large artery originating from the heart and branching out into smaller veins to supply oxygenated blood to all parts of the body. It consists of the ascending aorta (which passes through the heart), the aortic arch (which passes over the heart), the descending thoracic aorta (which passes down the chest region), and the abdominal aorta (which begins at the diaphragm).

An aortic defect can be corrected with the Bentall procedure. Aortic root replacement (replacement of the root of the aorta) and valve replacement (three flaps that ensure one-way blood flow from the heart to the aorta), as well as coronary artery revision (reimplantation of the coronary arteries that branch out from the ascending aorta), are required. It is called the button Bentall surgery - the current and most common surgery.

Indications:

  • Aortic regurgitation- occurs when the aortic valve does not close properly.

  • Marfan’s syndrome- a condition in which the wall of the aorta weakens.

  • Aortic aneurysm- enlargement of the aorta.

  • Aortic dissection- tearing of the inner layer of the aorta.

Bentall Procedure

  1. The surgery will be performed under general anesthesia to prevent pain.

  2. During surgery, vital signs such as blood pressure and oxygen levels will be monitored.

  3. The surgeon will make an incision on the middle of the chest and attach a cardiopulmonary bypass machine, which circulates oxygenated blood throughout the body.

  4. The core body temperature will be lowered with a cooling technique.

  5. Due to lack of oxygen, this technique pauses the body’s internal processes so that heart surgery can be performed and reduces the risk of heart and brain damage.

  6. A suitable artificial valve will be attached to the heart’s aortic root and the coronary arteries reconnected.

  7. The incisions will be closed and bandaged with sutures after the necessary corrections have been made.

Diagnosis

We use various methods to diagnose and evaluate an aortic issue that may require a surgeon to perform a Bentall procedure to correct it. As a matter of course, the attending surgeon may perform more than one test. These tests may include:

  • X-rays: This technique uses light with a shorter wavelength than visible light to take images of internal organs, which can be used to diagnose problems.

  • Echocardiogram: Used to detect any abnormalities in the heart.

  • CT scan: A technique for obtaining a detailed image of the inside of the body.

  • Ultrasound: Here, high-frequency sound waves are used to obtain an internal view of the human body. 

The physician may decide whether or not to perform the Bentall procedure based on the results of the different examinations.

The recovery process
After surgery, you will be taken to a post-anesthesia care unit and hooked up to a machine that will monitor your vital signs. When you are discharged from the hospital, your doctor will give you instructions to follow, such as:

  • Gradually increase your activity level.

  • For the first 12 weeks after surgery, do not engage in any vigorous activity.

  • After your surgery, you should not lift heavy weights for a few weeks.

The following symptoms should be reported to your consulted doctor:

  • Chills

  • High fever

  • Drainage from the incision

  • Incisional redness

  • Increased incisional tenderness

The Bentall procedure has several advantages Bentall Procedure has the following advantages:

  1. Congenital heart defects can be reduced by this treatment.

  2. Reduces the risk of recurrence of heart attacks.

  3. Extends the life expectancy of an individual.

  4. Congenital heart disease treatment.

Why do you have to choose CARE Hospitals?

  • We provide quality medical care and exceptional patient service to the highest standards of international and national health care.

  • The facility teams up with expert cardiologists and cardiac surgeons to provide accurate diagnosis and medical care.

  • Patients can receive safer, better, and more comprehensive medical care on account of the hospital’s high-tech infrastructure and modern medical facilities.

Frequently Asked Questions

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