The diagnosis of heart failure in children remains challenging. It precipitates
changes in circulatory abnormalities, multiple cellular processes and neuro-hormonal
status. Many cases are due to congenital disorders .Clinical picture in children ranges
from being asymptomatic to having severe life-threatening symptoms. Ross
classification was originally developed to determine the presence and severity of heart
failure in infants and younger children. Non-invasive imaging studies are necessary in
order to make the diagnosis of heart failure in children. Management ranges from
medical, interventional to surgical procedures. Heart transplantation remains an
acceptable treatment for children with end-stage heart failure.
Keywords: Cardiomyopathy, Congenital Heart, Echocardiography, Heart
Transplantation, Heart Failure, Inotropes, Mechanical Circulatory Support,
Pulmonary Blood Flow, Ross Classification.
