Bentall Surgery in India

The heart is the essential circulatory organ of our body and supplies blood to other body parts through the blood vessels. The aorta is the largest blood vessel of the body, which provides blood to essential organs such as the brain, abdominal organs, and the heart itself. At Max Hospital, India Bentall procedure is performed effortlessly to correct the problems of the aorta such as

Aortic regurgitation – The wall of the aorta bulges
Aortic aneurysm – The widening of the aorta causes this
Aortic dissection – The inner layers of the aorta tears
Marfan’s syndrome- a congenital disorder characterized by the weakening of the wall of the aorta.

Symptoms

Aortic wall pathology develops gradually as the heart compensates for the problem until it turns serious. The majority of the patients will not show any signs for years and can also be unaware of the condition. However, when the aortic valve and wall weakens, the patient will experience the following symptoms

Fatigue and weakness
Shortness of breath
Inability to perform challenging activities
Chest pain
Discomfort and tightness in the chest
Fainting and lightheadedness
Irregular pulse
Rapid and fluttering heartbeat
Heart murmur

Medical test and Diagnosis

To diagnose problems with the aortic valve, the doctors will prescribe the following tests,

Echocardiogram
ECG
Chest X-ray
Cardiac MRI

Pre-procedure Precautions and Preparations

Before two weeks of the procedure, the doctor will advise on starting new medicines and stop the existing ones that might interfere with the success of the process. Doctors will also be going through the reports of blood tests, chest X-ray, ECG, and cardiac Doppler studies to plan for the procedure accordingly. On the day of the procedure, the bowels will be cleared, and the patient will be kept Nil per Os from the previous night. The surgery is performed under general anesthesia. The diseased portion of the aorta is removed and is replaced with a graft. The entire procedure extends for about five hours.

Postoperative Care and Precautions

The patient is observed in the Intensive care unit for one or two days after the surgery. All vital parameters are found, and analgesics need to be administered to manage pain. The length of hospital stay can be a few days to a week. During the postoperative period, the wound is cleaned, bowel functions are restored, chest tubes are removed, and the doctor intimates on when to remove the stitches.

Special approach for treatment

Bentall surgery can be performed with a minimally invasive procedure, known as the Mini Bentall surgery. It requires a smaller cut, and only the top half of the sternum is divided.