Introduction -- Anatomy of the failing right heart -- Physiology of the failing right heart -- Pharmacologic approach to the failing right heart -- Echocardiographic evaluation of right heart failure -- Right heart catheterization for the failing right heart -- Magnetic Resonance Imaging of the failing right heart -- The failing right heart in congenital diseases -- Surgery of the tricuspid valve in right heart failure -- Pulmonary embolism and right heart failure -- Anaesthetic consideration and perioperative management in right heart failure -- Mechanical support and the right heart -- Special considerations.