Balakrishnan KR, Rao KGS, Subramaniam GK, et al. - Researchers conducted the study for analyzing the clinical profiles and the risk factors for early and medium-term mortality in a pediatric population undergoing heart transplantation in a single center in a private health care setting in India. This research involved a total of 97 patients who had surgery between March 2014 and October 2019. Data on their INTERMACS status, pulmonary vascular resistance, donor heart ischemic times, donor age, donor to recipient weight ratio and creatinine levels have been collected. Data reported that the 90-day survival was 89%. Ischemic time, pulmonary vascular resistance (PVR) and PVR index had no impact on 90-day survival. After heart transplantation in a pediatric population, excellent results are possible even in a resource-constrained environment of a developing economy. More measures are required to facilitate pediatric organ donation and patients need to be referred to in better INTERMACS category for optimal outcomes.