Treatments

Bentall Procedure in India

Quick answer

The Bentall procedure replaces the aortic valve, aortic root and the first part of the aorta with a single tube graft that contains a valve. The coronary arteries are then reattached to the graft. It is for an enlarged aortic root with valve disease, often in Marfan syndrome. Expect a few weeks in India.

Medically reviewed by The Curaventa Team · Last updated 2026-10-24

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At a glance

Cardiac SurgerySpecialty

The aortic root is the section of aorta where the valve sits and where the coronary arteries arise. When the root widens, the valve leaflets can pull apart and leak, and the risk of tearing (dissection) rises.

In the Bentall operation, the surgeon removes the diseased root and valve and replaces them with a composite graft. Buttons of tissue containing the coronary artery openings are sewn into the graft. When the valve leaflets are healthy, a valve-sparing root replacement may be considered instead.

Who needs bentall procedure

Aortic root aneurysm with a diseased or leaking aortic valve
Marfan syndrome or other inherited aortic conditions with root enlargement
Bicuspid aortic valve with root dilatation
Type A aortic dissection involving the root
Infection destroying the valve and root

How it is done

General anaesthesia is given and the breastbone opened.
The heart-lung machine is connected and the heart stopped.
The enlarged root and aortic valve are removed.
The coronary artery openings are cut out as small buttons of tissue.
A composite valve-graft is sewn to the heart, and the coronary buttons are sewn into it.
The graft is joined to the remaining aorta, and the heart is restarted and checked.

Before you travel to India

CT angiogram or MRI of the aorta with images
Echocardiogram with valve and root measurements
Coronary angiogram or CT coronary angiogram
Genetic test results or family history of aortic disease
Dental clearance and blood tests

Recovery and flying home

An intensive care stay of a few days is common.
Ward recovery often takes about a week or more.
Mechanical valve recipients need INR stabilisation before flying.
Blood pressure control is important to protect the rest of the aorta.
Lifelong imaging of the remaining aorta is advised.

Risks

Bleeding from the many suture lines
Problems with the coronary artery connections
Stroke
Heart rhythm problems or heart block
Blood thinner complications with a mechanical valve

Alternatives

Valve-sparing aortic root replacement (David or Yacoub procedures) when leaflets are healthy
Separate valve replacement and ascending aorta graft when the root is normal
Surveillance and blood pressure control for smaller roots

Conditions treated

Aortic Aneurysm

Hospitals in India for bentall procedure

How these hospitals compare

Specialists

Frequently asked questions

What is the difference between Bentall and valve-sparing surgery?

Bentall replaces the valve along with the root. Valve-sparing surgery keeps your own valve and replaces only the root. Whether your valve can be kept depends on the leaflets.

Why is Marfan syndrome linked to this surgery?

Marfan syndrome weakens connective tissue, so the aortic root tends to enlarge. Early root replacement helps prevent dissection. Lifelong monitoring of the aorta is needed.

Is the Bentall procedure an emergency operation?

It is usually planned when scans show enlargement. It can be done as an emergency for aortic dissection. Planned surgery generally carries lower risk.

What should overseas patients send before a Bentall operation?

Send aortic CT or MRI images, echo reports and any genetic test results. These help the surgeon plan the type of graft and valve. Coronary imaging is often requested too.

Will I need blood thinners?

With a mechanical valve, lifelong warfarin is needed. Tissue-valve grafts may need only short-term treatment. Your surgeon will explain the options.

Medically reviewed by The Curaventa Team. Last updated 2026-10-24. General information, not medical advice. Medical editorial board · Editorial policy · How we get prices

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