The Wheat minimally invasive procedure, a category of open cardiac surgery, is an aortic valve and ascending aorta replacement with preservation of the aortic sinus. The minimally invasive Wheat procedure is a category of open aortic surgery, aortic valve and ascending aortic replacement with preservation of the aortic sinus, and is indicated for patients with no significant aortic sinus pathology, but where the aortic valve cannot be preserved and there is severe dilatation of the ascending aorta. Wheat minimally invasive surgery does not require freeing the opening of the coronary arteries, which can keep the risk of surgery within a certain range, and the mid- and long-term results of the operation are better. When operating on patients with Marfan syndrome (a congenital, hereditary connective tissue disease), aneurysms and clips can form during the later stages of the progression of the operation, which may pose a certain threat to the patient’s physical health. If a patient is in need of minimally invasive Wheat surgery, early and standardized treatment is recommended to minimize the adverse effects of the disease.