Effective management of congenital heart disease (CHD) in children requires careful consideration of ventilation strategies that balance respiratory support with cardiac function. Noninvasive mechanical ventilation (NIV) has emerged as a pivotal approach in this context, offering significant advantages over invasive methods by enhancing respiratory mechanics while minimizing complications associated with prolonged intubation and mechanical ventilation. Given the complex interplay between CHD-related pulmonary complications and circulatory challenges, optimizing noninvasive ventilation techniques is essential to improving outcomes and ensuring comprehensive care for pediatric patients with CHD.