Advanced Aortic Surgeries Questions & Answers
Aorta is the major blood vessel arising from the heart and carries blood to all the organs and tissues of the body. The Aorta can be involved in a myriad of diseases, some of which are serious enough to require urgent surgical correction, otherwise prove fatal. One such condition is “Acute Aortic Dissection” which if left untreated could be fatal. Another important disease that requires surgical correction is “ Aortic Aneurysm” or dilatation of the Aorta, the treatment of Aortic Aneurysm is dependent on the site of dilatation, i:e Ascending Aorta or Thoraco-abdominal Aorta. The Aneursm of Ascending aorta requires surgical correction while the Thoraco-abdominal aneurysm can be treated with a endovascular approach.
Bentall procedure is the name given to the surgical correction of Ascending aortic dissection and Aneurysms. It is a complex 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 minimally invasive approach.
Low rate of operative mortality and late complications make Bentall operation the gold standard for the treatment of ascending aortic diseases. 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.
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