Congenital Heart Diseases (CHD) still rank as one of the top ten leading causes of pediatric morbidity and mortality in the Philippines. Its incidence of 5-10/1000 live births is high among children with congenital anomalies. it is divided into two big groups; the cyanotic and acyanotic types of CHD. Ventricular Septal Defect (ASD), and Patent Ductus Arteriosus (PDA) represent the more common acyanotic type. They are also known as the shunt lesions becau of their characteristic left-to-right shunting hemodynamics. Tetralogy of Fallot (TOF), the most common cyanotic CHD along with Truncus Arteriosus (TA), Pulmonary Valve Atresia (PVA), d-Transposition of the Great Arteries (TGA) and Double-Outlet Right Ventricle (DORV) represent the other group.