CONCLUSION
Aortic arch surgery during the neonatal period still poses a challenge
in terms of feasibility and outcome. Choosing the appropriate perfusion
technique is vital for ensuring better long-term outcomes. There is no
consensus yet as to either the perfusion type or the temperature and
flow rates of cerebral perfusion. Dual selective cerebral and coronary
continuous perfusion at moderate hypothermic circulatory appears
feasible, reliable, and reproducible, while ensuring maximal cerebral
and visceral protection, without exposure to ischemic complications.