The Bentall procedure is the surgical procedure in which the defects of the aorta are treated. The aorta is the largest artery in the human body. When the walls of the aorta become damaged and the artery abnormally swollen or bulges and produces symptoms, the Bentall procedure is performed to correct the defect. In the Bentall procedure, the graft is used to replace the abnormal artery, and the aortic valves are also replaced. Bentall procedure can be performed traditionally as in open heart surgery or it can be performed by the procedure of minimally invasive technique.
The recovery period can vary according to the condition of the patient but mostly it can take several weeks to months for complete recovery.
Bentall Surgery Cost in India
The bentall surgery cost in India ranges from 8,000 USD to 15,000 USD. The cost can vary according to the condition of the patient, the facilities of the hospital, and the skill of the surgeon. The cost can also vary according to the types of valves used in the replacement of aortic valve.
- Bentall Procedure: 8,000 USD to 15,000 USD
- Aortic Valve Replacement - Mechanical Valve: 7,000 USD to 8,000 USD
- Aortic Valve Replacement - Tissue Valve: 9,000 USD to 12,000 USD
City-Wise Variations of Bentall Surgery Cost in India
- Delhi: 8000 to 12,000 USD
- Mumbai: 9000 to 15,000 USD
- Chennai: 7000 to 11000 USD
- Noida: 7500 to 10500 USD
- Bangalore: 8500 to 11,000 USD
Types of Bentall Surgery Cost in India
Some types of Bentall procedures are performed according to the condition of the patient. These are
- Traditional Bentall Procedure: 7000 USD to 9000 USD
- Modified Bentall Procedure: 7000 USD to 10,000 USD
- Button Bentall Procedure: 8000 USD to 13500 USD
- Hemashield Bentall Procedure: 7000 USD to 11500 USD
- Valve-Sparing Bentall Procedure: 9000 USD to 13,000 USD
- Bioprosthetic Valve Bentall Procedure: 9500 USD to 14,000 USD
Traditional Bentall Procedure
This is the classic form of the procedure that involves the replacement of the aortic valve and the aorta that runs upward with an artificial graft. A mechanical or biological valve is used along with a synthetic graft to replace the abnormal aorta. It may cost from 7000 USD to 9000 USD.
Modified Bentall Procedure
In this type of Bentall procedure, some changes might be made to the surgical technique, such as using different suture techniques or graft materials. The remaining procedure of replacing the aortic valve and the aorta remains the same as the traditional Bentall procedure. The cost may range between 7000 USD to 10,000 USD.
This procedure is also known as the "button Bentall”. This procedure involves reimplanting the branches of the aorta into the graft by using button-like flaps. This can help improve the blood flow in branches of the aorta and reduce the risk of complications. The cost of the button bentall procedure ranges from 8000 USD to 13500 USD.
Hemashield Bentall Procedure
In this type of procedure, a special type of graft material called Hemashield is used for the synthetic tube graft. This material is designed to reduce the risk of infection and other complications related to graft. The cost ranges is 7000 USD to 11500 USD.
Valve-Sparing Bentall Procedure
This procedure is not a true Bentall procedure in the traditional way. This approach involves replacing the aorta while preserving the aortic valve of the patient. This is also known as the David procedure or re-implantation procedure. The cost of this procedure ranges from 9000 USD to 13,000 USD.
Bioprosthetic Valve Bentall Procedure
This involves using a bioprosthetic or tissue valve instead of a mechanical valve. Bioprosthetic valves are obtained from animal tissues and do not require medications to limit the complications related to valves. The cost may range from 9500 USD to 14,000 USD.
The Procedure of Bentall Surgery
The general overview of the Bentall procedure is as follows
Anesthesia
The anesthesia is administered so that the patient cannot feel pain or discomfort during the Bentall procedure.
Incision
An incision is made in the center of the chest on the breastbone to access the heart and the blood vessels.
Aortic Root Dissection
The aorta is dissected, and the impaired aortic valve is also removed for the preparation of the implantation of the graft.
Graft Placement
A synthetic tube graft that is made up of resilient materials is securely stitched in place of the aorta. If the aortic valve replacement is also required, it is attached to the graft—either by a mechanical or a bioprosthetic valve.
Coronary Arteries
The coronary arteries are the branches of the aorta. The openings of the coronary arteries are carefully reattached to the graft. This step is important to maintain continuous blood supply to the heart muscle.
Closure
After the implantation, the incisions are closed by using sutures. Some medications are used to apply on these incisions.
Recovery
In the recovery phase, medications are used to prevent any complications, and limited activities are recommended to avoid the extra stress on the heart. India
Cost Comparison Between India and Different Countries
- India - 8000 USD (starting price)
- UK - 50,000 USD (starting price)
- USA - 68,000 USD (starting price)
- Thailand - 6000 USD (starting price)
- UAE - 25,000 USD (starting price)
Factors Affecting Bentall Surgery Cost in India
The Bentall surgery cost in India can be different for each patient receiving this treatment. Some of the factors that can influence the total cost are as follows
- Type of Bentall procedure
- Type of technique used in surgery
- Use of advanced equipment
- Complications after surgery
- Number of diagnostic tests
- Follow-up sessions
- Medications
- Need for supportive treatment
- The skill of a surgeon in performing the Bentall procedure
- Presence of other diseases in the patient
- General Health of the patient
Bentall Surgery Success Rates in India
The Bentall surgery success rates range from 89% to 92%. The high success rates are attributed to the experienced surgeons who are skillful in performing the procedure with great accuracy. The advanced medical equipment used in the Indian healthcare system also contributes to the success rates.
Conditions that point to the necessity of Bentall Surgery in India
Some of the conditions that may require Bentall Surgery in India are listed below
- Aortic root aneurysm
- Aortic dissection involving the ascending aorta
- Aortic valve dysfunction with ascending aorta involvement
- Marfan syndrome, Ehlers-Danlos syndrome with involvement of aorta.
- Aortic root abscess or infection
- Aortic regurgitation due to aortic root dilation or valve pathology
- Aortic stenosis with involvement of the ascending aorta
- Bicuspid aortic valve with associated aortic root disease
- Aortic swelling and bulging which produces abnormal blood flow
- Genetic syndromes associated with abnormalities of the aorta
- Traumatic injury to the aortic root and ascending aorta
- Aortic root pathology causing heart failure.
Best Doctors for Bentall Surgery in India
- Dr. Aditi Singhvi
- Dr. Venkata Rayudu Nekkanti
- Dr. Rahul Chandola
- Dr. Ajay Kaul
- Dr. Anup Charles Steven
Best Hospitals for Bentall Surgery in India
- Apollo Hospitals, Chennai
- Fortis Escorts Heart Institute, New Delhi
- Narayana Institute of Cardiac Sciences, Bangalore
- Medanta - The Medicity, Gurgaon
- Kokilaben Dhirubhai Ambani Hospital, Mumbai
03/05/2024
