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Updated: Jun 22, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Minimally invasive Ross procedure through partial upper sternotomy.

Ulrich F W Franke1, Marc Albert, Christian Rustenbach

  • 1Department of Cardiac and Vascular Surgery, Robert Bosch Hospital, D-70376 Stuttgart, Germany. ulrich.franke@rbk.de

Interactive Cardiovascular and Thoracic Surgery
|June 4, 2009
PubMed
Summary
This summary is machine-generated.

The Ross procedure offers excellent long-term results for aortic valve issues in young adults. Minimally invasive access shows promise, with no increased patient risk despite a slightly longer aortic cross-clamp time.

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Minimally Invasive Surgery

Background:

  • The Ross procedure is a valuable treatment for aortic valve disease in young adults, known for its excellent long-term outcomes.
  • Traditional open-chest surgery for aortic valve repair can be associated with significant patient morbidity.
  • Minimally invasive surgical techniques are increasingly explored to reduce surgical trauma and improve recovery.

Observation:

  • This report details the initial experience with the Ross procedure using a minimally invasive approach in two consecutive patients.
  • The surgical team utilized a limited-access technique for aortic valve replacement.
  • Key procedural metrics, including aortic cross-clamp time, were closely monitored.

Findings:

  • The minimally invasive Ross procedure was successfully performed in both patients.
  • A slightly prolonged aortic cross-clamp time was noted compared to conventional methods.
  • Crucially, the limited access approach did not lead to an increased risk profile for the patients.

Implications:

  • Minimally invasive access for the Ross procedure is a feasible and safe alternative for select young adults.
  • This approach may offer benefits in terms of reduced surgical trauma and potentially faster recovery.
  • Further research and larger studies are warranted to confirm the long-term efficacy and broader applicability of this technique.