Does additional descending aorta perfusion in neonates undergoing arch reconstruction with antegrade cerebral perfusion lead to better patient outcome?

Abstract

Introduction: Many congenital cardiac surgeons use selective antegrade cerebral perfusion (ACP) during aortic arch reconstruction. However, with ACP there is uncertainty how much of cardiopulmonary bypass (CPB) flow reaches the lower body. We compared the outcome of HLHS patients with three different perfusion strategies.