A Bentall procedure is a cardiac surgery

Cardiac surgery

Cardiovascular surgery is surgery on the heart or great vessels performed by cardiac surgeons. Frequently, it is done to treat complications of ischemic heart disease , correct congenital heart disease, or treat valvular heart disease from various causes including endocarditis, rheumatic heart...

 operation involving composite graft replacement of the aortic valve

Aortic valve

The aortic valve is one of the valves of the heart. It is normally tricuspid , although in 1% of the population it is found to be congenitally bicuspid . It lies between the left ventricle and the aorta....

, aortic root and ascending aorta

Ascending aorta

The ascending aorta is a portion of the aorta commencing at the upper part of the base of the left ventricle, on a level with the lower border of the third costal cartilage behind the left half of the sternum; it passes obliquely upward, forward, and to the right, in the direction of the heart’s...

, with re-implantation of the coronary arteries into the graft. This operation is used to treat combined aortic valve and ascending aorta disease, including lesions associated with Marfan syndrome

Marfan syndrome

Marfan syndrome is a genetic disorder of the connective tissue. People with Marfan's tend to be unusually tall, with long limbs and long, thin fingers....

. The Bentall procedure was first described in 1968 by Hugh Bentall, M.D. and A. De Bono, M.D..

Alternatives

The Bentall operation entails replacement of the aortic valve

Aortic valve

The aortic valve is one of the valves of the heart. It is normally tricuspid , although in 1% of the population it is found to be congenitally bicuspid . It lies between the left ventricle and the aorta....

, aortic root and ascending aorta

Ascending aorta

The ascending aorta is a portion of the aorta commencing at the upper part of the base of the left ventricle, on a level with the lower border of the third costal cartilage behind the left half of the sternum; it passes obliquely upward, forward, and to the right, in the direction of the heart’s...

, but other operations may be used when all three components are not involved.

• Normal aortic root: The re-implantation of the coronary arteries is prone to complications, and aortic root replacement should be avoided when possible. The aortic valve and ascending aorta can be replaced in separate steps, without root replacement.
• Normal aortic valve with annular dilation and ascending aneurysm (frequently found in Marfan syndrome): Artificial heart valve
  Artificial heart valve
  An artificial heart valve is a device implanted in the heart of a patient with heart valvular disease. When one of the four heart valves malfunctions, the medical choice may be to replace the natural valve with an artificial valve. This requires open-heart surgery.Valves are integral to the normal...
  
  s may wear out or require anticoagulation, and a valve-sparing aortic root replacement
  Valve-sparing aortic root replacement
  Valve-sparing aortic root replacement is a cardiac surgery procedure involving replacement of the aortic root without replacement of the aortic valve...
  
   allows replacement of the aortic root +/- ascending aorta, while allowing a person to keep their own aortic valve and avoid the problems of aortic valve replacement.

See also

• Aortic valve replacement
  Aortic valve replacement
  Aortic valve replacement is a cardiac surgery procedure in which a patient's failing aortic valve is replaced with an alternate healthy valve. The aortic valve can be affected by a range of diseases; the valve can either become leaky or partially blocked...
  
  
• Marfan syndrome
  Marfan syndrome
  Marfan syndrome is a genetic disorder of the connective tissue. People with Marfan's tend to be unusually tall, with long limbs and long, thin fingers....
  
  
• Ross procedure
  Ross procedure
  The Ross procedure is a cardiac surgery operation where a diseased aortic valve is replaced with the person's own pulmonary valve. A pulmonary allograft is then used to replace the patient's own pulmonary valve...
  
  
• Valve-sparing aortic root replacement
  Valve-sparing aortic root replacement
  Valve-sparing aortic root replacement is a cardiac surgery procedure involving replacement of the aortic root without replacement of the aortic valve...
  
  

External links

• Cardiac Surgery in the Adult Ascending Aortic Aneurysms