Introduction: Bentall and De Bono1 first described composite valve graft implantation in 1968. This well documented technique of aortic root replacement has been used for a large spectrum of various pathologic conditions involving aortic valve, aortic root and ascending aorta.2,3 Since itsintroduction the Bentall operation has been considered as a gold standard in the surgicaltreatment of combined aortic valve, root and ascending aorta pathology. In the present study, we retrospectively reviewed the surgical outcome after Bentall procedure in respect to morbidity mortality in early post-operative period.

Materials and Method: Retrospective analysis of pre and post-operative data in Patients who underwent Bentall procedure in our unit for combined aortic valve, root and ascending aorta pathology.

Results: Age and sex of the population involved, severity of the disease, pathology of aortic valve,operative data in terms of type of cannulation, CPB time, size of graft used, Xclamp time,use of sealants for haemostasis, post operatively Duration of ventilation, Causes of prolonged ventilation, Post-operative bleeding and reexploration, Cerebrovascular accidents, Renal failure, Arrythmias, Sepsis, Pulmonary complications, Duration of stay in the ICU as early causes of mortality and morbidity were analyzed and compared.

Conclusion: En-bloc replacement of aortic valve and ascending aorta is still a commonly advocated procedure for various pathological conditions which involves aortic valve, root and ascending aorta carries low morbidity and mortality rates in early post-operative period. The procedure is safe and can be reproduced in a suitable patient. With the use of sealants and proper technique, early results were remarkable.