Bentall Surgery for Aortic Root Aneurysm in a Patient with Marfan Syndrome

Mohammad Fazle Maruf, Nazmul Hossain, Tahmina Akter, Asif Ahsan Chowdhury, Kamrul Hasan, Rezaul Karim, NA Kamrul Ahsan

A 34 yrs old man of marfan syndrome, visited us with the complaints of palpitation, easy fatigability
and chest discomfort for last 1year. He was pointed out to have the aortic root enlargement with
severe aortic regurgitation & mild mitral regurgitation by echocardiography and CT angiogram. We
excised the aneurysm, implanted a composite graft with prosthetic valve conduit (Bentall operation),
directly attached the coronary arteries to the aortic graft, and made the distal anastomosis to the
divided aorta. Postoperative course was uneventful. To our knowledge, this is the first successful
case of Bentall operation in national Institute of cardiovascular Diseases.