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Minimally invasive Ross procedure through partial upper sternotomy

Department of Cardiac and Vascular Surgery, Robert Bosch Hospital, Auerbachstr. 110, D-70376, Stuttgart, Germany

*Corresponding author. Tel.: +49-711-8101-3650; fax: +49-711-8101-3798.

E-mail address: ulrich.franke{at}rbk.de (U.F.W. Franke).

The Ross procedure has gained increasing interest for therapy of aortic valve pathologies in young adults because of excellent long-term results. This case report describes the first published experiences of the Ross procedure performed through a minimally invasive access in two consecutive patients. The limited access is associated with only a slightly prolonged aortic cross-clamp time. Consequently, a minimal access method does not result in an increased risk for patients.

Key Words: Aortic valve replacement; Minimal invasive surgery; Surgical technique