BENTALL PROCEDURE IN THE TREATMENT OF AORTIC DISSECTION (AD) – CURRENT STATE OF KNOWLEDGE AND LITERATURE REVIEW

Tomasz Furgoł; Konrad Gigoń; Joanna Jureczko; Robert Kasza; Maksymilian Ratajczak; Maciej Smreczak; Marcin Jezierzański; Michał Miciak; Dominika Mularska

doi:10.31435/ijitss.2(50).2026.5662

Authors

Tomasz Furgoł Medical University of Silesia, Zabrze, Poland https://orcid.org/0009-0007-4468-0895
Konrad Gigoń Medical University of Silesia, Zabrze, Poland https://orcid.org/0009-0006-4593-4677
Joanna Jureczko Academy of Silesia, Katowice, Poland https://orcid.org/0009-0002-6006-5917
Robert Kasza Medical University of Silesia, Zabrze, Poland https://orcid.org/0009-0003-5357-5983
Maksymilian Ratajczak Medical University of Silesia, Zabrze, Poland https://orcid.org/0009-0007-9530-1891
Maciej Smreczak Medical University of Silesia, Zabrze, Poland https://orcid.org/0009-0006-9407-9478
Marcin Jezierzański Medical University of Silesia, Zabrze, Poland https://orcid.org/0009-0000-9941-5318
Michał Miciak Wroclaw Medical University, Wroclaw, Poland https://orcid.org/0000-0001-6130-2270
Dominika Mularska Medical University of Silesia, Katowice, Poland https://orcid.org/0009-0007-4347-1469

DOI:

https://doi.org/10.31435/ijitss.2(50).2026.5662

Keywords:

Aortic Dissection Treatment, Bentall Procedure, Aortic Valve Replacement, Aortic Valve Sparing

Abstract

Background: Aortic dissection (AD) is a rare but life-threatening condition caused by damage to the aortic wall, leading to abnormal blood flow and severe complications such as tissue perfusion disorders, potential rupture, and fatal hemorrhage. Diagnosis is primarily based on imaging studies, and in cases of acute type A aortic dissection (TAAD), urgent cardiac surgical intervention is required. Treatment generally involves replacing the affected segment of the aorta, sometimes in conjunction with the aortic valve. A common surgical approach is the Bentall procedure.

Objectives: This review examines the effectiveness, benefits, and associated complications with the Bentall surgery in AD therapy, and a comparison between valve sparing and aortic replacement methods.

Methods: A comprehensive search was conducted in online databases. The analyzed publications included original research articles, meta-analyses, review papers, clinical guidelines, seminar articles, comparative studies, and retrospective case series.

Results: Both mechanical and biological composite grafts are viable options, with no definitive evidence favoring one over the other in terms of major complications or long-term survival; however, mechanical prostheses may offer a slight advantage in younger patients. In select emergency cases, limited repair without root replacement may yield favorable short-term outcomes, though current data are insufficient to draw firm conclusions. Emerging techniques, such as the ENDO-Bentall, represent promising innovations that may enhance procedural safety and expand treatment options.

Conclusions: The Bentall procedure remains the cornerstone in the surgical management of acute type A aortic dissection, particularly when the aortic root or valve is compromised.

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