Toshihide Asou

Aortic Arch Reconstruction in Neonates and Small Infants Associated with Complex Congenital Heart Disease

The development of deep hypothermic circulatory arrest (DHCA) in 1960s was a breakthrough of pediatric cardiac surgery that allowed us to perform corrective surgeries of many lesions previously not amenable to repair, such as arch obstruction including interruprion of aortic arch, coarctation of the aorta, and hypoplastic left heart syndrome in neonates. Neurologic injury, however, became a well-documented consequence of DHCA by 1970s. Since then, enormous efforts have been pursued to eliminate neurologic complications. In 1996, a unique technique, selective cerebral perfusion, was reported to avoid circulatory arrest and perform antegrade cerebral perfusion during aortic arch repair in neonates and small infants. Since then, the antegrade perfusion technique during aortic arch reconstruction has been widely used among pediatric cardiac surgeons. In the 7th CHD Indonesia-Japan teleconference, we would present our own technique and its outcome of aortic arch repair for aortic obstruction in neonates and infants.

Vidyo