Resumen

DE LA PARTE PEREZ, Lincoln. ANESTHESIA IN THE TRANSPOSITION OF THE GREAT VESSELS. Rev Cubana Pediatr [online]. 2005, vol.77, n.1. ISSN 0034-7531.

The transposition of the great vessels is a complex heart disease accompanied of a high mortality. It is known that 45 % of the patients die during the first month of life and at about 90 % do it before being one year old. The main causes of death are hypoxia and heart failure. The development of the specialties working in pediatric cardiovascular surgery has allowed to increase the survival of these children, specially with the use of prostaglandins to maintain the ductus permeable, the Raskind-Miller's technique (balloon septostomy), and an increasing trend towards an early anatomical correction (Jatene's operation) to replace the classical palliative procedures and Senning and Mustartd's techniques of physiological correction. A bibliographic review of the factors to be taken into account in the anesthetic management of these patients is presented.

Palabras clave : Congenital heart diseases; pediatric cardiovascular anesthesia.