Retrograde cerebral perfusion with hypothermic circulatory arrest in a child

This report describes a 4-year-old boy who presented with infective endocar ditis involving the ascending aorta and the arch vessels, with supravalvula r aortic stenosis as the underlying pathology. Operation was indicated beca use of the embolic potential of the vegetations inside the aorta. Retrograd e cerebral perfusion was utilized in conjunction with hypothermic circulato ry arrest, to flush particulate materials from the arch Vessels during oper ation. (C) 2000 by The Society of Thoracic Surgeons.