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Eur J Cardiothorac Surg 2006;30:693-694
© 2006 Elsevier Science NL

Editorial

‘Because we can, should we ...?’

84 Harley Street, London W1G 7HW, United Kingdom

^_* Corresponding author. Tel.: +44 20 7034 8806; fax: +44 20 7034 8808. (Email: marc.deleval@hcahealthcare.co.uk).

The first 20% of the full text of this article appears below.

In this issue of the journal, Dr Pouard and his colleagues [1] demonstrate that a neonatal arterial switch operation can be performed using continuous normothermic cardiopulmonary bypass (CPB) and they suggest that this may have some advantages.

This achievement would have been unthinkable when the arterial switch operation first became part of our surgical armamentarium. Many factors have contributed to such a ‘tour de force’: advances in surgical techniques, refinement of bypass technology and, not least, an ever-higher level of human performance.

A first reaction would be to support the view that normothermia being more physiological, one could recommend normothermic cardiopulmonary bypass for neonatal cardiac surgery, having demonstrated its feasibility.

After reflection, however, one has to remember that CPB is a highly unphysiological state and the question arises whether normothermic continuous perfusion for neonatal cardiac surgery is the best strategy to alleviate . . . [Full Text of this Article]

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