This document summarizes the development of the heart and great vessels from the 3rd week of gestation. It describes how the primitive heart tube forms from fused endothelial tubes and develops grooves that divide it into chambers. As the heart grows, it rotates and twists into its final shape with the right ventricle anterior and left-sided chambers posterior. The aortic arches form six pairs of vessels that remodel into the great arteries. Finally, it briefly describes some common congenital heart abnormalities such as Tetralogy of Fallot.