Bentall Procedure in India: Advanced Cardiac Care at an Affordable Cost

Introduction

The Bentall Procedure in India is gaining global recognition for its high success rates, world-class surgical expertise, and cost-effectiveness. This complex heart surgery is performed to treat life-threatening conditions involving the aortic root, aortic valve, and ascending aorta. Whether due to an aortic aneurysm, dissection, or congenital issues like Marfan’s Syndrome, the Bentall procedure offers a durable and comprehensive solution for patients with serious aortic diseases.

India is home to some of the best cardiothoracic surgeons and state-of-the-art hospitals that specialize in this intricate surgery. The Cost of Bentall Procedure in India remains significantly lower than in Western countries, making it a preferred destination for international patients seeking top-quality treatment without the burden of high medical bills.

Who Needs the Bentall Procedure?

The Bentall procedure is recommended for individuals with serious abnormalities in the aorta. These include:

• Aortic Regurgitation: When the aortic valve does not close properly, causing blood to flow backward.

• Aortic Aneurysm: Abnormal bulging or dilation in the aortic root or ascending aorta.

• Aortic Dissection: A tear in the inner layer of the aorta that can be life-threatening.

• Marfan’s Syndrome: A genetic disorder that weakens connective tissue, especially affecting the aorta.

Without timely surgical intervention, these conditions can lead to aortic rupture, stroke, or heart failure.

Types of Bentall Procedure

1. Classic Bentall Procedure
   Involves replacing the aortic valve, aortic root, and ascending aorta using a composite graft. The valve used can be mechanical (requires lifelong blood thinners) or biological (more natural but less durable).

2. Modified Bentall Procedure
   Uses a “button technique” to reattach coronary arteries, reducing complications such as kinking or bleeding and improving long-term outcomes.

3. Biological Composite Graft Replacement
   Ideal for patients who cannot take anticoagulants. It uses a biological valve fused with a synthetic graft, offering reasonable longevity without heavy medication.

Pre-Surgical Evaluation and Planning

Before surgery, a thorough evaluation is conducted to assess the extent of the disease and plan the procedure. This includes:

• Medical history review and physical examination

• Diagnostic tests like echocardiography, CT angiography, cardiac catheterization, and MRI

• Blood tests and pulmonary function tests

• Consultation with anesthesiologists and cardiologists to evaluate surgical risks

The choice between a mechanical and biological valve depends on factors such as the patient’s age, lifestyle, and ability to tolerate anticoagulants.

The Bentall Surgical Procedure

Performed under general anesthesia, the Bentall procedure involves the following steps:

• A midline incision (sternotomy) is made to access the heart.

• The patient is placed on a heart-lung bypass machine.

• The damaged aortic valve, root, and ascending aorta are removed.

• A composite graft (valve + tube) is implanted.

• Coronary arteries are reattached to ensure proper blood flow.

• The heart is restarted and monitored before closing the chest.

The surgery typically lasts several hours and requires a hospital stay of around 7–10 days, depending on the patient's condition and recovery.

Post-Surgery Recovery and Long-Term Care

Recovery after a Bentall procedure is gradual and varies from person to person. Most patients take 6 to 8 weeks to return to their normal routines. During this period, key aspects include:

• Monitoring of vital signs and surgical wound care

• Breathing and mobility exercises guided by physiotherapists

• Medications for pain management and infection prevention

• Emotional and psychological support to cope with the stress of major surgery

Lifestyle changes such as avoiding smoking, maintaining a healthy diet, and regular check-ups are crucial to long-term success.

Success Rate of Bentall Procedure in India

India boasts a success rate of 89% to 92% for the Bentall procedure. This is made possible by the presence of highly skilled cardiothoracic surgeons, modern surgical techniques, and well-equipped healthcare facilities. Patient outcomes in India are comparable to leading hospitals in the US or Europe, often with fewer complications and shorter hospital stays.

Cost of Bentall Procedure in India

One of the major advantages of seeking treatment in India is affordability. The Cost of Bentall Procedure in India typically ranges from USD 5,000 to USD 10,000, depending on the hospital and city. This price usually includes:

• Surgeon’s and anesthetist’s fees

• Pre- and post-operative diagnostics

• Hospitalization and ICU stay

• Medications during recovery

In comparison, similar surgeries in countries like the USA or UK may cost four to five times more, making India a cost-effective destination for quality cardiac care.

Why Choose India for the Bentall Procedure?

• Internationally Accredited Hospitals: Many hospitals in India are NABH and JCI certified.

• Expert Surgeons: Cardiothoracic surgeons in India have vast experience and are globally trained.

• Advanced Technology: Hospitals are equipped with 3D imaging, minimally invasive tools, and hybrid operation theaters.

• English-speaking Staff: Communication is seamless for international patients.

• Minimal Waiting Times: Surgeries can often be scheduled quickly.

• Affordable Healthcare Packages: Medical tourism facilitators offer complete care, from airport pick-up to post-op consultations.

Conclusion

The Bentall Procedure in India offers a reliable, advanced, and cost-effective solution for serious aortic conditions. With a combination of skilled cardiac surgeons, cutting-edge technology, and patient-centered care, India has become a preferred destination for cardiac patients across the globe. Additionally, the Cost of Bentall Procedure in India is significantly lower compared to Western countries, making it an ideal choice for patients seeking quality treatment on a budget.