Bentall procedure

Bentall procedure is performed for the repair of ascending aortic root lesions. Typically the native aortic root and aortic valve are replaced with a composite graft that comprises both ascending aortic and aortic valve grafts, to which the coronary arteries are anastomosed.

Complications post procedure

Recognized complications include

• formation of dissecting aneurysm
• mediastinal peri-aortic collections 
  • mediastinal hematoma
  • infective collections
• coronary arterial complications
  • leakage at anastomosis of the coronary arteries
  • pseudoaneurysm formation at anastomosis of the coronary arteries
  • coronary ostial dissection
  • coronary ostial stenosis
• formation of a ventricular septal defect as part of aortic valve replacement
• endocarditis at the level of the valve
• mycotic pseudoaneurysms

History and etymology

It was originally introduced was by H Bentall and A De Bono in 1968 . Since then, there have been several modifications to the procedure.