Cerebral protection during aortic arch reconstruction in newborns

Results of surgical treatment in 31 patients with different congenital aortic arch pathologies are presented. Two intraoperative methods of cerebral protection: deep hypothermia (n = 15), antegrade perfusion (n = 16) were used over a period from 2008 to 2012. Hospital mortality and neurologic complications in the antegrade perfusion group were significantly lower than those in the deep hypothermia group. However, a high rate of renal complications requires further investigation of this problem, identification of possible causes and improvement of the method.