Abstract： Objective:To summarize the surgical experiences of implantable left ventricular assist devices (LVAD) in children.Methods:The relevant clinical data were retrospectively reviewed for 3 children with advanced heart failure undergoing LVAD implantation plus tricuspid valve ring retraction. Surgical techniques were discussed.Results:Three kids with dilated cardiomyopathy underwent LVAD implantation plus tricuspid valvoplasty under cardiopulmonary bypass (CPB). Warfarin anticoagulation was initiated without heparin bridge early after ventilator weaning. Intravenous inotropic support was discontinued at Day 7-9 after CPB. Discharge occurred at Day 30 after CPB. During follow-ups, LVAD worked well with a pump speed of (2400-2550) rpm and a flow rate of (1.91-2.63) L/min. Left and right ventricular functions were matched well and ventricular septum was centered slightly to right. The first two cases returned to school and resumed living independently.Conclusion:Implantable LVAD is both safe and effective for advanced heart failure in children. Different from adult patients, more considerations are required for proper selections of VAD and specific implant techniques.