Conclusion
BHAS reduces myocardial ischemic time, which can be very valuable,
especially when long and complex intracardiac procedures are required.
Both strategies are associated with satisfactory mid-term reduction of
reintervention and reoperation rates. Given the lower incidence of ARF
and delayed sternal closure in the postoperative period and similar
mid-term outcomes, we believe that the BHAS strategy should be preferred
technique for aortic arch repair in neonatal patients.