Aortic arch surgery using bilateral antegrade selective cerebral perfusion in combination with near-infrared spectroscopy☆

Abstract

NIRS-guided BACP during MHCA allows a safe approach to complex aortic arch surgery. The drop of brain oxygenation values in the contralateral hemisphere during unilateral ACP strongly suggests the routine use of BACP, when circulatory arrest under tepid temperatures is used.