Advanced Aortic Surgeries
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Aorta is the name of a major blood vessel coming out from the heart and carries blood to all the organs and tissues of the body. The Aorta can be involved in multiple diseases some of which are very serious to require urgent surgical correction, otherwise It could prove fatal. (fig)
One other important disease that needs surgical correction is “Aortic Aneurysm” or dilatation of the Aorta (Fig), the treatment of Aortic Aneurysm is dependent on the site of dilatation, i:e Ascending Aorta or Thoraco-abdominal Aorta. The Aneurysm of Ascending aorta needs surgical correction while Thoraco-abdominal aneurysm can be treated with an endovascular approach.
Bentall procedure is a name for surgical correction of Ascending aortic dissection and Aneurysms. A very complicated operation involving replacement of the Ascending aorta along with the aortic valve with a prosthetic composite tube graft and re-implantation of the coronary arteries.
Yes, with the advanced instrumentation and technology, even a complex operation like Bentall can be performed through a minimally invasive approach.
Less rate of mortality rate during operation and late complications make Bentall operation the gold standard for the treatment of ascending aortic diseases. This operation technique has Good long term survival (10 years mortality rate <2%), event free survival and significant improvement in symptoms indicate that Bentall operation is suitable for most of the patients affected with Ascending Aortic diseases.