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Because of the growing knowledge and expertise, MCS is currently supplied as a bridge to data recovery or heart transplantation and perhaps even while destination therapy. Acute renal injury (AKI) is common in patients with end-stage heart failure (ESHF). When severe AKI develops requiring kidney replacement therapy (KRT), these patients present unique challenges when it comes to pediatric nephrology group. Making use of KRT is not acceptably explained in children with ESH