Bentall procedure

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Overview

A Bentall procedure is a cardiac surgery operation involving composite graft replacement of the aortic valve, aortic root and ascending aorta, 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. The Bentall procedure was first described in 1968 by Mr. Hugh Bentall and A. De Bono.^[1]

Alternatives

The Bentall operation entails replacement of the aortic valve, aortic root and ascending aorta, 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 valves may wear out or require anticoagulation, and a valve-sparing aortic root replacement 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.

Indications

• Aortic aneurysm
• Aortic regurgitation
• Aortic dissection

See also

• Aortic valve replacement
• Marfan syndrome
• Ross procedure
• Valve-sparing aortic root replacement

References

External links

• Cardiac Surgery in the Adult Ascending Aortic Aneurysms

v • d • e Health Science – Medicine - Surgery - Cardiac surgery procedures (ICD-9-CM V3 35-37)
Coronary heart disease	Angioplasty - Coronary artery bypass - MIDCAB - Off-pump coronary artery bypass - TECAB
Heart valves	Aortic valve repair - Aortic valve replacement - Mitral valve repair - Mitral valve replacement - Ross procedure
Great vessels	Bentall procedure - Pulmonary thromboendarterectomy - Valve-sparing aortic root replacement
Myocardium	Cardiomyoplasty - Dor procedure - Heart transplantation - Septal myectomy - Ventricular reduction
Pericardium	Pericardiocentesis - Pericardiectomy
Congenital heart disease	Atrial septostomy - Blalock-Taussig shunt - Fontan procedure - Norwood procedure
Conduction system	Maze procedure (Cox maze and minimaze) - Pacemaker insertion

uk:Процедура Бенталла

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .