What is Bentall Surgery?
Bentall Surgery (Bentall Procedure) is a complex open-heart operation used to replace the diseased aortic valve, aortic root, and ascending aorta. The coronary arteries are then carefully reattached (reimplanted) into the replacement graft, restoring normal blood flow to the heart. It remains the gold-standard treatment for many patients with combined aortic root and aortic valve disease.
India has become a preferred destination for Bentall surgery because of its internationally trained cardiothoracic surgeons, state-of-the-art cardiac centers, advanced hybrid operating rooms, and significantly lower treatment costs compared to many Western countries.
Who Needs Bentall Surgery?
Your orthopedic surgeon may recommend this procedure if you have:
- Ascending Aortic Aneurysm
- Aortic Root Aneurysm
- Aortic Dissection (especially Type A)
- Severe Aortic Regurgitation with Aortic Root Dilatation
- Bicuspid Aortic Valve with Aneurysm
- Marfan Syndrome
- Loeys-Dietz Syndrome
- Annuloaortic Ectasia
- Connective tissue disorders affecting the aorta
- Previous failed aortic root surgery
Common Causes
Symptoms
- Chest pain
- Severe back pain
- Shortness of breath
- Fatigue
- Palpitations
- Dizziness
- Fainting (Syncope)
- Heart murmur
- Sudden severe tearing chest pain (aortic dissection)
- Symptoms of heart failure
Diagnosis
- CT Aortic Angiography
- Echocardiography (2D Echo)
- ECG
- Chest CT Scan
- Chest X-ray
- Coronary Angiography (selected patients)
- Complete Blood Count (CBC)
- Kidney Function Tests
- Liver Function Tests
- Blood Sugar (HbA1c)
- Coagulation Profile
- Blood Grouping
- Pulmonary Function Tests (if required)
- Dental evaluation (if indicated)
- Anesthesia assessment
Types of Bentall Surgery
Conventional Bentall Procedure
Replacement of the aortic valve, aortic root, and ascending aorta using a composite graft.
Modified Bentall Procedure
The modern and most commonly performed technique, offering improved durability and lower complication rates through refined coronary artery reimplantation.
Mechanical Valve Bentall
Uses a mechanical valve. Benefits: excellent long-term durability and suitable for younger patients. Requires lifelong blood-thinning medication.
Biological (Tissue Valve) Bentall
Uses a bioprosthetic valve. Benefits: usually does not require lifelong anticoagulation, and is often preferred for older patients or when anticoagulation is unsuitable.
Benefits
- Prevents life-threatening aortic rupture
- Treats aortic aneurysm and dissection
- Restores normal valve function
- Improves blood circulation
- Relieves symptoms
- Improves life expectancy
- Reduces risk of sudden cardiac death
- Durable long-term solution
- Enhances quality of life
The Procedure
- Pre-operative planning and imaging review
- Administration of general anesthesia
- Median sternotomy (opening the chest)
- Connection to the heart-lung (cardiopulmonary bypass) machine
- Removal of the diseased aortic valve, aortic root, and ascending aorta
- Implantation of the composite valve graft
- Reimplantation of both coronary arteries into the graft
- Restoration of normal circulation
- Closure of the chest
- ICU monitoring and recovery
Duration: The surgery usually takes 4–7 hours, depending on complexity.
Recovery Timeline
Success Rate
Bentall surgery is a highly specialized procedure with excellent outcomes when performed in experienced centers, with overall success depending on the patient's age, whether the surgery is emergency versus elective, aortic disease severity, heart function, surgical expertise, hospital infrastructure, and the presence of associated medical conditions; high-volume cardiac centers in India report excellent outcomes for appropriately selected patients, particularly for planned (elective) procedures.
Risks
Although bentall surgery is generally safe, possible risks include:
Cost of Bentall Surgery in India
The final cost depends on: Hospital category, Surgeon's expertise, Type of valve (mechanical or biological), ICU stay, Hospital room category, Diagnostic investigations, Medical condition, Emergency versus elective surgery, Post-operative complications, Rehabilitation.
Why International Patients Choose India
- Highly experienced orthopedic surgeons
- Advanced surgical and arthroscopic technology
- Internationally accredited hospitals (NABH & JCI)
- Affordable treatment compared to Western countries
- Minimal waiting time
- Comprehensive rehabilitation programs
- English-speaking healthcare teams
- Personalized care for international patients
Best Hospitals for Bentall Surgery in India
Hospital selection depends on your diagnosis, treatment goals, and budget. See our full hospital network →
International Patient Journey
- Share your medical reports (and MRI scans, if relevant).
- Receive a free expert medical opinion.
- Get a personalized treatment plan and cost estimate.
- Confirm your travel dates.
- Receive medical visa assistance.
- Arrive in India and meet your patient coordinator.
- Consultation and pre-operative evaluation.
- Bentall Surgery.
- Rehabilitation and physiotherapy.
- Follow-up consultation.
- Return home with complete medical records and recovery guidance.
Frequently Asked Questions
Bentall surgery replaces the diseased aortic valve, aortic root, and ascending aorta with a composite graft while reconnecting the coronary arteries.
Patients with aortic root aneurysms, severe aortic valve disease, Type A aortic dissection, Marfan syndrome, and related conditions may require this procedure.
Yes. It is a complex open-heart surgery performed under general anesthesia using a heart-lung machine.
Most procedures take 4–7 hours, depending on the complexity.
Most patients stay in the hospital for 7–10 days, followed by outpatient follow-up.
Most international patients are advised to remain in India for 3–4 weeks after surgery for recovery and follow-up.
Patients receiving a mechanical valve usually require lifelong anticoagulation, while those receiving a biological valve may have different medication requirements depending on their clinical condition.
Most patients recover over 2–3 months, although individual recovery varies.
Yes. When performed before rupture or other catastrophic complications occur, it can significantly reduce the risk of life-threatening events.
Medicare Spots assists international patients with expert opinions, hospital and surgeon selection, treatment planning, medical visa support, travel arrangements, accommodation, dedicated patient coordination, and post-treatment follow-up.