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.2,4 Since its introduction, the Bentall operation has been considered as a gold standard in the surgical treatment of combined aortic valve, root and ascending aorta pathology. In the present study, we retrospectively reviewed the Left ventricular volume regression of our patients who underwent Bentall procedure for various pathology involving aortic valve, root and ascending aorta.

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

Results: LV regression in terms of EDV, ESV, LVIDd and LVIDs is statistically significant. The difference in LVIDd by 0.87 cm and LVIDs by 0.74 cm post operatively compared with pre-operative echocardiography.

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 leads to significant regressions in LV volumes in early post-operative period.