Bentall procedure

Specialty| cardiology

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The Bentall procedure is a type of cardiac surgery 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 disease of the aortic valve and ascending aorta, including lesions associated with Marfan syndrome. The Bentall procedure was first described in 1968 by Hugh Bentall and Antony De Bono.[1] It is considered a standard for individuals who require aortic root replacement, and the vast majority of individuals who undergo the surgery receive mechanical valves.[2]

## Contents

* 1 Alternatives
* 2 Indications
* 3 See also
* 4 References
* 5 External links

## 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.[citation needed]

* 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
* Open aortic surgery
* Endovascular aneurysm repair

## References

1. ↑ Bentall H.; De Bono A. (1968). "A technique for complete replacement of the ascending aorta". Thorax 23 (4): 338–9. doi:10.1136/thx.23.4.338. PMID 5664694.
2. ↑ Mookhoek, Art; Korteland, Nelleke M.; Arabkhani, Bardia; Di Centa, Isabelle; Lansac, Emmanuel; Bekkers, Jos A.; Bogers, Ad J. J. C.; Takkenberg, Johanna J. M. (2016). "Bentall Procedure: A Systematic Review and Meta-Analysis". Adult Cardiac (The Society of Thoracic Surgeons) 101 (5): 1684–1689. doi:10.1016/j.athoracsur.2015.10.090. PMID 26857635. https://www.annalsthoracicsurgery.org/article/S0003-4975(15)01762-2/pdf.

## External links

* Cardiac Surgery in the Adult Ascending Aortic Aneurysms

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Surgery and other procedures involving the heart (ICD-9-CM V3 35–37+89.4+99.6, ICD-10-PCS 02)

Surgery and IC|

| Heart valves
and septa|

* Valve repair
* Valvulotomy
* Mitral valve repair
* Valvuloplasty
* aortic
* mitral
* Valve replacement
* Aortic valve repair
* Aortic valve replacement
* Ross procedure
* Percutaneous aortic valve replacement
* Mitral valve replacement
* Percutaneous pulmonary valve implantation

production of septal defect in heart
enlargement of existing septal defect

Atrial septostomy
Balloon septostomy
creation of septal defect in heart

Blalock–Hanlon procedure

shunt from heart chamber to blood vessel
atrium to pulmonary artery

Fontan procedure
left ventricle to aorta

Rastelli procedure
right ventricle to pulmonary artery

Sano shunt

compound procedures
for transposition of the great vessels

Arterial switch operation
Mustard procedure
Senning procedure
for univentricular defect

Norwood procedure
Kawashima procedure

shunt from blood vessel to blood vessel
systemic circulation to pulmonary artery shunt

Blalock–Taussig shunt
SVC to the right PA

Glenn procedure

|

Cardiac vessels|

CHD
Angioplasty
Bypass/Coronary artery bypass

MIDCAB
Off-pump CAB
TECAB

Coronary stent
Bare-metal stent
Drug-eluting stent

* Bentall procedure
* Valve-sparing aortic root replacement

* LeCompte maneuver

Other|

Pericardium
Pericardiocentesis
Pericardial window
Pericardiectomy

Myocardium
Cardiomyoplasty
Dor procedure
Septal myectomy
Ventricular reduction
Alcohol septal ablation

Conduction system
Maze procedure

Cox maze and minimaze
Catheter ablation

Cryoablation
Radiofrequency ablation
Pacemaker insertion

* Left atrial appendage occlusion
* Cardiotomy
* Heart transplantation

Diagnostic
tests and
procedures|

Electrophysiology
Electrocardiography

Vectorcardiography
Holter monitor
Implantable loop recorder
Cardiac stress test

Bruce protocol
Electrophysiology study

Cardiac imaging
Angiocardiography
Echocardiography

TTE
TEE
Myocardial perfusion imaging
Cardiovascular MRI
Ventriculography

Radionuclide ventriculography
Cardiac catheterization/Coronary catheterization
Cardiac CT
Cardiac PET

sound
Phonocardiogram

Function tests|

* Impedance cardiography
* Ballistocardiography
* Cardiotocography

Pacing|

* Cardioversion
* Transcutaneous pacing

Category

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