Infant arch reconstruction during total system perfusion

Abstract

Currently, neonatal arch reconstruction requires the use of circulatory arrest or, predominantly, regional cerebral perfusion techniques.1 With regional perfusion, the question remains as to the adequacy of brain perfusion.2,3 Recent clinical and experimental evidence suggests that, with all techniques, systemic perfusion is sacrificed and unwanted effects of deep hypothermia remain. With the use of the INVOS cerebral oximeter (Somanetics, Troy, Mich), changes in the regional cerebral oxygen saturation are now noninvasively and continuously monitored, allowing for the comparison of different techniques.