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Congenital heart defects (CHD) are commonly associated with malnutrition in pediatrics population. A complicated management approaches is needed. A combined balanced surgical, medical and nutritional management is decided according to the cardiac lesion category and severity.Children with CHD require unique nutritional challenges. It is important to start dealing with nutrition status in congenital heart diseases as a preventable association rather than common consequence. Nutritional screening for diagnosed CHD cases will help in early detection of growth faltering. Consequently, it will provide access to early nutrition intervention and improve patient outcomes.