INTRODUCTION
Aortic arch surgery presents a challenge in neonates in terms of organ protection. Deep hypothermic circulatory arrest (DHCA) has so far been the most common adjunctive support technique. While this technique protects vital organs due to hypothermia, it has the added technical advantage of removing blood from the operative field (1). Though DHCA provides time-limited protection, it is not devoid of damaging effects (2). Though still a mainstay in congenital heart surgery, DHCA is associated with poor neurodevelopmental outcome (3). Alternative perfusion techniques have, therefore, been developed, such as antegrade cerebral perfusion (ACP) combined with moderate hypothermic circulatory arrest (MHCA) of the lower part of the body (4). This study sought to evaluate the feasibility and efficacy of combined continuous cerebral and myocardial selective perfusion strategy (CCMSP) as applied in our center.