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Bentall Surgery

Bentall Surgery

Bentall surgery or Bentall procedure is also called aortic root replacement surgery. A Bentall procedure or Bentall surgery is a heart surgery carried out to correct aortic root abnormalities with the ascending aorta and aortic valve issues. Bentall procedure is performed by an expert cardiovascular thoracic surgeon to correct medical conditions involving the aorta. Bentall surgery or aortic root replacement surgery is performed to replace part of the aorta, and the aortic valve of the heart to correct the aneurysm ( weakening of aortic walls and causing of a bulge in it) of the aorta. At CMCS Health, we are associated with the world's best cardiovascular thoracic surgeons to offer Bentall procedure ( aortic root replacement surgery) at a reasonable cost, at the world's top JCI and NABH-accredited heart surgery hospitals. Find bentall surgery cost in India.

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Bentall Surgery or aortic root replacement surgery:

A Bentall surgery or procedure is a life-saving heart surgery technique performed for the management of aortic root abnormalities with the ascending aorta combined with aortic valve issues. It was first introduced by H. Bentall and A. D. Bono in the year 1968. Since then several modifications have been added to the procedure. Competent cardiovascular thoracic surgeons perform Bentall procedures or aortic root replacement surgery. The aortic root replacement surgery or Bentall surgery is performed to correct the medical conditions affecting the Aorta. Get the Bentall surgery cost in India or aortic root replacement surgery with the best cardiovascular thoracic surgeons in the world.

 

Major medical conditions affecting the aorta are:

The aorta is the main blood artery that carries the oxygenated blood from the left ventricle of the heart to the rest of the human body. The aorta starts at the aortic valve that connects with the left ventricle of the heart and runs down the middle of the human body. Right after exiting the special flap ( aortic valve ) connected with the left ventricle of the heart, the aorta stretches upwards and towards the neck. This part of the aorta is called the ascending aorta. From this part onward aorta forms a curve called the aortic arch. This entire portion of the aorta is termed as thoracic aorta. By the end of the aortic arch, the aorta descends downward and is hence called the descending aorta. The portion of the descending aorta where it passes the diaphragm is called the abdominal aorta. It abdominal aorta travels down further to the groin region where it splits into two arteries. These two arteries are called iliac arteries and they supply oxygenated blood to the two legs. The major medical conditions that affect the aorta are:

Aortic aneurysm:

The aorta is the main blood artery that carries the blood pumped by the left ventricle of the heart to the rest of the body. The Aorta has sturdy walls that stand up the blood pressure exerted by the pumping of blood by the heart. Certain medical conditions like genetic conditions or trauma can make the walls of the aorta damaged or weak. The force of blood pumped by the heart can cause the weakened or damaged aortic walls to bulge ( aortic aneurysm). The heart aortic aneurysm can be classified as:

  1. Abdominal aortic aneurysm.
  2. Thoracic aortic aneurysm.

Aortic aneurysm ( ballooning or bulging of the aorta ) can take place even before any experience of the symptoms. When aortic aneurysms grow larger, they may burst (get ruptured ) or tear the wall of the aorta ( dissection). Both these medical conditions can be fatal and require early diagnosis and prompt treatment to prevent serious life-threatening complications. Bentall procedure or aortic root replacement surgery is the choice of treatment in many aortic aneurysm patients.

Aortic regurgitation: 

Aortic regurgitation is heart aortic valve disease. The medical condition involves the aortic valve which connects the lower left heart chamber with the aorta. In aortic regurgitation, the aortic valve does not close completely and the blood pumped by the left ventricle of the heart to the aorta leaks back to the left ventricle. The backward leakage of blood hampers the heart's functioning of pumping blood to the rest of the body. Patients with moderate to severe aortic regurgitation who are symptomatic too must undergo a minimally invasive  TAVR or TAVI procedure. In case it is associated with aortic aneurysm, the Bentall procedure or aortic root replacement is the choice of treatment.

Aortic Dissection:

Aortic dissection is the tear in the inner lining of the aorta. The aorta is made of three layers. The innermost layer is called the intima, the middle layer is called the media, and the outermost layer of the aorta is called the adventitia. When a sudden tear appears in the inner layer of the aorta due to weakening or damaging of the aorta, blood pumped by the heart surges through the inner layer and separates (dissects) the inner layer from the middle layer. This separation of the inner and middle layers of the aorta and subsequent blood flowing through it causes a bulging or aneurysm in the aortic artery making it further weak and prone to rupture. Aortic dissection is a life-threatening medical condition and needs to be treated immediately. Bentall procedure or aortic root replacement can be considered as a treatment for certain patients.

Marfan syndrome:

Marfan syndrome is a genetic disorder ( meaning it is passed on by parents to their children ) that affects the connective tissues in the body by mutating the FBN1 gene. Connective tissues are the fibers that support and anchor body organs and other body structures. Marfan syndrome usually affects the connective tissues of the heart, eyes, blood vessels, and skeleton. Marfan syndrome can be fatal if it causes aortic dissection.

Risk factors associated with aortic disease:

Most of the time aortic disease does not have any noticeable symptoms unless the condition is in an advanced stage and requires immediate medical attention to avoid fatality. The risk factors associated with severe aortic aneurysm or aortic dissection are :

  • Mature age ( People who are above 50 years of age ) people are at a higher risk of aortic aneurysm or aortic dissection.
  • Gender ( Men are more prone to aortic disease as compared to women.)
  • Genetic factors or hereditary ( certain connective tissue diseases like Marfan syndrome or collagen vascular disorders like Loey Deitz syndrome, and vascular Ehlars-Danlos syndrome) lead to a higher risk of developing aortic disease.
  • Family History ( If any of the family members is diagnosed with aortic disease ) increases the risk of getting aortic disease.
  • Pre-existing aneurysm ( A history of previous aneurysm ) disposes for additional aneurysm.
  • Lifestyle-related factors (Comorbidities like smoking, high blood pressure, high cholesterol, and diabetes ) increase the chances of one getting aortic disease) 

Diagnosis of aortic disease:

Once the attending physician ( usually a cardiologist in this case ) suspects an aortic disease in a patient, he will do a physical examination and take the family history of the patient. For making a confirmatory diagnosis the patient is advised for some imaging tests.

Physical examination for the diagnosis of Aortic disease:

The attending clinician will do the following examination to diagnose an aortic aneurysm:

  • Feeling the stomach area.
  • Observing any heart murmuring sound as a softer heart sound may indicate an aortic aneurysm.
  • Check the pulse if it is weaker than normal.
  • Looking for any signs or symptoms that could be indicative of an aortic aneurysm.

Imaging tests for diagnosis of aortic aneurysm:

Apart from physical examination and taking the medical history, the cardiologist will recommend the following imaging tests to gauge any increase in the size of the aorta. If the aorta is found to be larger than the normal size, the attending clinician may recommend other tests too.

Ultrasonography or ultrasound: 

An ultrasound is done to determine the size of the abdominal aortic aneurysm. Periodic ultrasounds may be recommended to monitor any growth in aortic aneurysm. 

Echocardiography:

Echocardiography tells the attending clinician about the size of aortic aneurysm. It also tells about the thoracic aorta.

CT Scan:

A CT scan may also be done as it shows clearly the thoracic aorta and also tells about the size and location of the thoracic aortic aneurysm.

MRI :

Magnetic resonance imaging tells correctly about the location, size, and shape of Aortic aneurysm.

Once it is established that the patient is having a life-threatening thoracic aortic aneurysm or aortic dissection, the treating doctor may advise the patient a Bentall procedure or aortic root replacement surgery.

Advantages of Bentall procedure or aortic root replacement surgery:

Bentall Procedure is a life-saving heart surgery to correct aortic root abnormalities with the ascending aorta and aortic valve dysfunction. The Bentall surgery involves the insertion of a mechanical valve conduit to replace the damaged aortic root. It is regarded as a long-term solution and a gold standard for patients with abnormalities in the aortic valve, ascending aorta, and aortic root. Bentall procedure along with its various modalities has significantly increased the the life expectancy of such patients in the last few decades. Over some time after its inception, the Bentall procedure is universally acknowledged as one of the most curative surgical procedures in the field of cardiac surgery.

As Global healthcare guardians for patients from all across the globe, we are associated with the best cardiovascular thoracic surgeons at the top heart surgery hospitals in India for Bentall surgery with the lowest cost in India with unparalleled success rates.

The process of Bentall surgery or Aortic root replacement surgery:

Bentall procedure is a complex life-saving heart surgery performed by an expert cardiovascular thoracic surgeon at a well-managed and well-equipped heart surgery hospital. The procedure is done under general anesthesia and involves the following steps:

  • An expert cardiovascular thoracic surgeon removes the affected portion of the aorta along with aortic valves.
  • Temporary removal of coronary arteries.
  • Insertion of an artificial aortic graft with built-in aortic valves called the conduit.
  • Making two holes in the aortic graft and reattaching the coronary arteries.

Bentall procedure or aortic root replacement surgery takes around 5 to 7 hours and requires a team of doctors including anaesthesiologists who are well versed in conducting complicated cardiac surgeries.

CMCS Health, the best medical tourism assistance company has helped and coordinated successful Bentall surgery in India for scores of international patients. Ask us about Bentall procedure cost in India with the best Indian heart surgeons.

Types of Aortic root replacement surgery:

At CMCS Health, we offer two types of cost-effective Aortic root replacement heart surgery, performed by our associated expert CVTS heart surgeons.

Aortic root replacement surgery ( ARR) - Bentall procedure:

When the root of the Aorta along with the aortic valve connected with the left ventricle of the heart is replaced during aortic root replacement surgery, it is called aortic root replacement surgery or Bentall surgery. Bentall procedure is performed for those patients who have aortic root aneurysm combined with aortic valve issues. It saves the patient from undergoing another surgery down the line to repair or replace the aortic valve.

The downside of the Bentall procedure is that patients who receive a mechanical valve during the procedure will need to take blood-thinning medications lifelong.

 

A successful Bentall procedure in India for a Zimbabwe patient.

A successful Bentall procedure for a Zimbabwe patient in India.

 

Sister Kerry Kelter Lino from Zimbabwe had a successful Bentall procedure ( aortic root replacement along with aortic valve) with us at Fortis Escorts Heart Institute in New Delhi, India. The complicated Bentall procedure was performed by the leading cardiovascular thoracic surgeon (CVTS) in India, Dr. Yugal Mishra. 

Find the Bentall surgery cost in India in this blog.

Valve-sparing aortic root replacement surgery (VSRR) :  

If the aortic aneurysm patients do not have severe regurgitation or stenosis of the aortic valve they will undergo a valve-sparing aortic root replacement surgery. This type of aortic root replacement surgery is the best for younger aortic aneurysm patients who have genetic syndromes and connective tissue disorders.

Valve-sparing aortic root replacement surgery involves replacing the aortic root but not the aortic valve. It is further subdivided into two more subtypes:

  1. The Yacoub procedure involves replacing the aortic root and remodeling the aortic valve. Yacoub procedure is a better choice for elderly people whose aortic aneurysm is not linked to a genetic disorder.
  2. David's procedure involves replacing the aortic root but reimplanting one's aortic valve. It is a better choice for younger aortic aneurysm patients with genetic disorders or bicuspid aortic valves.

The advantage of valve-sparing aortic root replacement surgery is patients do not need to take blood-thinning medications. The downside of these types of surgeries is that the patients may need another valve repair or replacement surgery down the line.

Bentall surgery cost in India or aortic root replacement surgery cost :

Bentall procedure or aortic root replacement surgery are life-saving heart surgeries for patients with aortic aneurysms who are prone to aneurysm rupture or aortic dissection. The cost of the Bentall procedure or aortic root replacement surgery depends on factors like the expertise of the doctor, associated comorbid factors, type of surgery, Type of aortic valve ( mechanical or tissue valve ), patient's hospital stay, etc. The Average cost of a Bentall surgery in India or aortic root replacement surgery cost is as follows:

Bentall surgery cost in India or aortic root replacement surgery cost:

Cost of Investigations for initial workup (Blood tests, including CT scans and MRI ) before Bentall procedure in USD

500 - 1000 United States dollars 
Bentall Procedure cost in India or aortic root replacement surgery cost                  ( Including the cost of aortic valve, including hospital stay of 8 days) 12000 - 16000 USD

Please note:

Bentall procedure cost in India is the lowest among the best heart surgery centers in the world.

  • The above Bentall surgery cost in India is an average estimation if any complication arises or any additional implant is needed, That cost will be extra.
  • If a patient overstays in the hospital because of any complications post-surgery, the Bentall procedure cost in India may vary from the above-estimated cost.

Bentall surgery cost or aortic root replacement surgery cost in Singapore:

Cost of initial workup ( Including blood tests, CT scans, and MRI ) before Bentall procedure in USD 2000 -3500 USD
Cost of Bentall surgery or aortic root replacement surgery ( cost includes 8-day hospital stay and also the cost of aortic valve) 25000 - 35000 USD

Best Doctors for Bentall surgery or Aortic root replacement surgery in India:

At CMCS Health, we are associated with Best Cardiovascular Thoracic Surgeons for cost-effective Bentall procedures or aortic root replacement surgery in India for global patients seeking Bentall surgery in India.

The best Bentall Procedure doctors in India are:

  1. Dr. Anil Bhan - Chairman, Cardiac Surgery at Medanta - The Medicity Hospital in Gurugram, India.
  2. Dr. Yugal Mishra - Chief of Cardiac Sciences and CVTS at Manipal Hospital, New Delhi, India.
  3. Dr. Z. S. Meherwal - Executive Director - CVTS at Fortis Escort Heart Institute, New Delhi, India. 

Top Hospitals for Bentall Procedure in India:

We are associated with the top hospitals for Bentall Procedure or aortic root replacement surgery in India. Most of the Top Heart surgery Hospitals in India are JCI and NABH accredited for hassle-free Bentall Procedure or aortic root replacement surgery in India for global medical travelers.

Top Hospitals for Bentall surgery in India are:

  1. Medanta - The Medicity Hospital, Gurugram, India.
  2. Fortis Escorts Heart Institute, New Delhi, India.
  3. Manipal Hospital, New Delhi, India.

Frequently Asked Questions about the Bentall surgery or aortic root replacement surgery :

Both Bentall procedure and aortic root replacement surgery are life-saving heart surgeries, performed to correct aortic diseases. The Bentall procedure ( ARR) requires replacement of the aortic root along with the aortic valve, whereas aortic root replacement surgery is also called valve-sparing aortic root replacement surgery (VSRR) where only the aortic root is replaced while the aortic valve remains unchanged. CMCS Health assists international patients seeking Bentall surgery in India with the Best Bentall surgery doctors in India.

  • Is Bentall Procedure or aortic root replacement an open heart surgery?

Yes, the Bentall procedure or aortic root replacement surgery is an open surgery performed by an expert cardiovascular thoracic surgeon under general anesthesia.  

  • How do I find the right doctor and hospital for my Bentall procedure or aortic root replacement surgery?

One needs to send us all the medical and investigation reports with a brief medical history including associated co-morbid factors. We discuss those reports with our leading heart specialist and inform you of the opinions about treatment courses and costs from the cardiovascular thoracic surgeons. In case you need more clarification, we will arrange a video conference call with specialist doctors to clear any doubts. We help you in choosing the right doctor and the best hospital for your surgery. We assure you of the best bentall procedure cost in India.

  • How will my doctor confirm that I need a Bentall procedure or Aortic root replacement surgery?

The general guideline for the need for the Bentall procedure or aortic root replacement surgery takes into consideration the size of the aneurysm and associated risk factors. Your treating doctor recommends a Bentall procedure or aortic root replacement surgery if the aortic root aneurysm reaches the following sizes:

  1. When the diameter of the aortic root aneurysm is 5.5 centimeters you have no risk factors associated or any genetic (inherited) disorders.
  2. Patients with Marfan Syndrome have an aortic aneurysm diameter of more than 5 cm.
  3. If your aortic root aneurysm diameter is 4.5 cm, you have Marfan syndrome, have a family history of aortic dissection, your aortic root aneurysm is growing by more than 3 mm annually, have severe aortic or mitral valve regurgitation.
  4. If the diameter of an aortic aneurysm is 5 cm, you have a bicuspid aortic valve and associated risk factors like aortic valve regurgitation, hypertension, and rapid annual growth in the size of the aneurysm.

The size of the aortic aneurysm is generally gauged by a CT scan or MRI.

  • Is Bentall Procedure or Aortic root replacement surgery a big surgery?

Yes, the Bentall procedure is a complex and serious heart surgery and needs a very high level of expertise and a well-equipped hospital set up to handle any eventuality. We are associated with the most experienced Bentall procedure surgeons in India who have performed thousands of successful Bentall procedures and aortic root replacement surgeries at the top heart surgery hospitals in India.

  • What is the recovery time post-Bentall procedure or aortic root replacement surgery?

The full recovery takes at least 6 to 12 weeks. Some patients take 2 to 3 months before complete recovery.

  • How soon can I start my routine activities post a successful Bentall procedure?

Your treating surgeon will tell you the exact time when you can resume your routine activities post a successful Bentall procedure or aortic root replacement surgery. In general, a person should avoid driving or lifting heavy objects for 6 to 8 weeks.

  • What is the success rate of the Bentall Procedure in India?

Both the Bentall procedure and aortic root replacement surgery are considered life-saving heart surgeries with very high success rates. Today Bentall procedure and aortic root replacement surgery are considered as the gold standard for treating aortic abnormalities. At CMCS Health, our best Bentall procedure doctors in India are giving globally at par success rates among the best heart surgery centers in the world.

  • Where will I stay in India post-discharge from the hospital after a successful Bentall procedure?

Usually, a patient has to stay in India for 3 weeks after a successful Bentall procedure and aortic root replacement surgery, we will arrange a hotel room or well-furnished guest house room with an attached furnished kitchen as per the budget and need of the patient and medical attendants in a safe and secure environment and in the vicinity of treating hospital.

  • Do I need to come to India again for review or follow-up?

There is no need for the patient to come to India again for follow-ups, we will monitor the patient's health with periodic required tests and discuss the tests through a video conference call with the treating Indian doctors and advise accordingly. But in case of any complication, we will help the patient come to India and the treating doctor for any health issues.

With CMCS Health you are assured of getting true value for your hard-earned money, you spend on medical treatments.

We offer medical treatments that cure. We are your Global Healthcare Guardians.