パネルディスカッション3（III-PD03）
左心低形成症候群：現状把握から今後を見据える

[III-PD03-02] Aortic arch repair in neonates using cerebro-myocardial perfusion

^○Giovanni Battista Luciani (Pediatric and Congenital Cardiac Unit, Division of Cardiac Surgery, Department of Surgery, University of Verona School of Medicine, Italy)

Aortic arch repair in the neonate is traditionally accomplished during a period of deep hypothermic circulatory arrest. In order to reduce the potential damage of brain ischemia, selective, regional low-flow perfusion techniques have been introduced, suggesting favourable neurologic outcome. More recently, combined perfusion strategies of cerebral and myocardial circulation, using a Y connector on the arterial line, have been proposed in an attempt to reduce cardiac morbidity and mortality of complex arch surgery. An alternative and novel strategy for cerebro-myocardial protection in the neonate has been developed, where selective antegrade cerebral perfusion is combined with controlled and independent coronary perfusion. The early and mid-term outcome in neonates undergoing complex aortic arch using selective cerebro-myocardial perfusion will be presented to support the safety and efficacy of this novel perfusion strategy.