TY - CHAP M1 - Book, Section TI - Transposition of Great Arteries A1 - Bianchi, Diana W. A1 - Crombleholme, Timothy M. A1 - D'Alton, Mary E. A1 - Malone, Fergal D. PY - 2015 T2 - Fetology: Diagnosis and Management of the Fetal Patient, 2e AB - Key PointsTransposition of the great arteries is a relatively rare congenital cardiac malformation that has potential to cause major morbidity and mortality in the neonatal period.Complete TGA results in separation of the systemic and pulmonary circulations, because of ventriculoarterial discordance, and leads to severe hypoxia in the early neonatal period.Corrected TGA has both atrioventricular and ventriculoarterial discordance, so that effectively pulmonary and systemic circulations are normal, thereby rarely resulting in pediatric morbidity.Prenatal diagnosis of complete TGA is achieved by noting a parallel path of the ventricular outflow tracts, with lack of the normal crossover of these vessels.Prenatal recognition of complete TGA is critical, as immediate pediatric cardiology intervention in the early neonatal period will be required.The surgical treatment of choice for complete TGA has changed from the atrial switch to the arterial switch procedure, and is associated with excellent long-term survival. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - obgyn.mhmedical.com/content.aspx?aid=1106398325 ER -