Bentall Procedure

𝗔𝗱𝘃𝗮𝗻𝗰𝗶𝗻𝗴 𝗔𝗼𝗿𝘁𝗶𝗰 𝗦𝘂𝗿𝗴𝗲𝗿𝘆: 𝗔 𝗕𝗲𝗻𝘁𝗮𝗹𝗹 𝗣𝗿𝗼𝗰𝗲𝗱𝘂𝗿𝗲 𝘄𝗶𝘁𝗵 𝗔𝗿𝗰𝗵 𝗥𝗲𝗽𝗹𝗮𝗰𝗲𝗺𝗲𝗻𝘁:
I recently had the opportunity to record and share a complex case involving repair of an ascending aortic aneurysm with complete reconstruction of the ascending aorta and arch. This included re-implantation of the coronary arteries—commonly known as a Bentall procedure—along with replacement of the ascending aorta and aortic arch.

The arch portion required profound hypothermia (18 degrees Celsius) with circulatory arrest, using retrograde cerebral protection to preserve normal brain function.

This operation demonstrates not only the technical precision required for complex aortic surgery but also the importance of careful planning, multidisciplinary teamwork, and innovation in cardiovascular care.

By sharing these videos —always with written permission from the patient— my hope is to provide educational insights into the steps of such high-stakes procedures and to contribute to ongoing discussions within the surgical community about best practices, evolving techniques, and patient outcomes.

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About The Author

Dr. Raymond Singer

Dr. Singer has been in practice since 1992 and has, to date, performed over 8,351 surgeries. His practice interests include complex valve, coronary and aneurysm surgery, as well as prevention and treatment of lung cancer.

 

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