Introduction
Surgical reconstruction of the aortic arch in newborns and infants has traditionally been performed using deep hypothermic circulation arrest (DHCA) (1-3). DHCA has a number of complications, the most important of which is neurological injury (4,5). ACP may be related with lower neurologic complications(6). However, the heart remained ischemic during cardiac arrest. Although DHCA continues to be used today, the use of ACP is preferred (7). Furthermore, using the coronary perfusion (CP) method allows archus surgery to be performed on a beating heart (BH) (8) and better postoperative outcomes have been reported with this method (9,10). BH arch reconstruction also shortens the ischemia time of the heart.
There is no definite consensus regarding perfusion strategies. In this report, we review our experience with beating heart arch surgery (BHAS) in newborns and infants undergoing arch reconstruction. We also compared BHAS to ACP and cardiac arrest (CA) perfusion strategies with regard to short- and mid-term outcomes.