Aortic Root Replacement

Verified by Dr Mrithyunjaya Kalmath– Lead Consultant CTVS, MICS & Heart Transplant Surgeon at Apollo Hospitals Navi Mumbai

Aortic root replacement surgery addresses aneurysms in the section of the aorta connected to the heart. An aneurysm, a weakened area in the blood vessel wall, poses a significant risk as it can tear (dissect) or rupture, causing life-threatening internal bleeding. By repairing or replacing the affected portion, this surgery can prevent such catastrophic events and save lives.

Overview of the Procedure

The surgery involves replacing the aortic root, and in some cases, the aortic valve. The approach depends on the condition of the valve. If the valve is functioning well, it may be preserved, but if it shows signs of damage, such as regurgitation (leakage) or calcification (hardening), it may also be replaced.

Types of Aortic Root Replacement Surgery

• Aortic Root Replacement (ARR): Also known as the Bentall procedure, this surgery replaces both the aortic root and the aortic valve. It is ideal for patients with aortic root aneurysms accompanied by valve-related problems, such as leakage or calcification. The key advantage is addressing both the aneurysm and valve issues in one procedure, reducing the likelihood of needing future surgeries.
• Valve-Sparing Root Replacement (VSRR): This option preserves a healthy aortic valve while replacing the aortic root. VSRR is often recommended for younger patients or those with genetic conditions causing aneurysms.It includes two techniques: 

1. The Yacoub Procedure: Focuses on reshaping the aortic valve, suitable for older patients with non-genetic aneurysms.
2. The David Procedure: Involves reimplanting the valve, commonly used for younger individuals with genetic syndromes or bicuspid valves.

Who Benefits from This Surgery?

Aortic root replacement is essential for individuals with aneurysms at high risk of rupture or dissection. Causes range from age-related changes in the aorta to genetic conditions like Marfan syndrome or Loeys-Dietz syndrome, which predispose individuals to severe aneurysms, often at a younger age.

Early diagnosis and timely surgical intervention are crucial for preventing complications and ensuring a longer, healthier life.

Connect with our expert, Dr Mrithyunjaya Kalmath– Lead Consultant CTVS, MICS & Heart Transplant Surgeon at Apollo Hospitals Navi Mumbai

Call 022 6280 6280 for an appointment