Key result
A fully robot-assisted Wheat procedure took 385 minutes in a 59-year-old male with an ascending aortic aneurysm, resulting in discharge 9 days postoperatively with normal valve function.
Why the study?
Minimally invasive surgical options for bicuspid aortic valve with ascending thoracic aortic aneurysm and severe aortic regurgitation are limited, motivating exploration of robot-assisted procedures.
Is a fully robot-assisted Wheat procedure technically feasible and safe for the treatment of bicuspid aortic valve complicated by ascending thoracic aortic aneurysm and severe aortic regurgitation?
Case Report (n=1)
Is a fully robot-assisted Wheat procedure technically feasible and safe for the treatment of bicuspid aortic valve complicated by ascending thoracic aortic aneurysm and severe aortic regurgitation?
A fully robot-assisted Wheat procedure is technically feasible and presents a promising minimally invasive, non-sternotomy approach for treating concurrent ascending thoracic aortic aneurysm and aortic valve disease.
Answers are grounded in this paper and cite their sources.
Robot-assisted Wheat procedure feasible in one BAV-ATAA case; leaves open need for larger series on safety and outcomes.
PURPOSE: This study aims to introduce a robot-assisted Wheat procedure for the treatment of bicuspid aortic valve (BAV) complicated by ascending thoracic aortic aneurysm (ATAA) and severe aortic regurgitation, presenting it as a novel minimally invasive surgical option. DESCRIPTION: A 59-year-old male patient, diagnosed with an ATAA measuring 45.6 mm, bicuspid aortic valve, and severe aortic regurgitation, underwent a fully robot-assisted Wheat procedure. The pathological aortic valve was replaced with a 25-mm bioprosthesis, and the aneurysmal ascending aorta was excised and reconstructed using a 28-mm vascular graft. EVALUATION: The surgical procedure lasted 385 minutes, with a cardiopulmonary bypass (CPB) duration of 233 minutes and an aortic cross-clamp time of 175 minutes. The patient was extubated 16 hours postoperatively and discharged 9 days later, demonstrating excellent recovery, normal aortic valve function, and no perivalvular leakage. CONCLUSIONS: The robot-assisted Wheat procedure is technically feasible and safe for selected patients with ATAA and aortic valve disease. It offers a promising non-sternotomy approach; however, further experience is essential to broaden its indications to more complex cases.
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Yang et al. (2026) conducted a case report in Bicuspid aortic valve complicated by ascending thoracic aortic aneurysm and severe aortic regurgitation (n=1). Fully robot-assisted Wheat procedure was evaluated on Operative times and postoperative recovery. A fully robot-assisted Wheat procedure took 385 minutes in a 59-year-old male with an ascending aortic aneurysm, resulting in discharge 9 days postoperatively with normal valve function.
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