Abstract
Objective: Transposition of the great vessels (TGV) is the subversion of normal cardiac anatomy, representing the main cyanotic congenital malformation among neonates. The objective of this work is to discuss and synthesize the aspects of this heart disease, listing the signs and symptoms, diagnostic methods and treatments, in addition to describing the applicability, the technique used and possible evolutions of the surgical correction. Methods: A narrative literary review was carried out using the Scielo, PubMed, NCBI and Springer databases, between the years 1981 and 2020, using as keywords ‘Transposition of Great Vessels”, “Transposition of Great Arteries”, “TGV Surgical Techniques”, “Arterial Switch Operation” and “Lecompte Procedure”.Bibliographic review: This pathological entity includes multiple anatomical changes that can accompany the inversion in the position of the great arteries, influencing clinical presentation. It is the main cause of neonatal surgical procedures, with different techniques that are adapted according to the patient's condition. The diagnosis is only confirmed by image exams. Final considerations: TGV, if not accompanied by blood shunt, is incompatible with life. Therefore, it requires hemodynamic stabilization and careful monitoring, until the most appropriate surgical method is chosen to restore communication between systemic and pulmonary flows. The diagnosis is only confirmed by image exams. Final considerations: TGV, if not accompanied by blood shunt, is incompatible with life. Therefore, it requires hemodynamic stabilization and careful monitoring, until the most appropriate surgical method is chosen to restore communication between systemic and pulmonary flows.