Approximately half of the individuals with Down syndrome have congenital heart disease requiring surgical repair. A holistic approach to treatment of these individuals should be focused on the management of physiological and cognitive functions. For cases requiring surgical treatment,Adequate level of physiological functions is not expected without surgical treatment. Inadequate physiological functionsmay cause in ineffective physical and cognitive functions. Early diagnosis and surgical treatment is crucially important for these individuals. Individuals with Down Syndrome, if not treated surgically because of high operative mortality, the decrease in functional capacity and quality of lifeis unavoidable.In both of our cases,surgical treatment was delayed by their families.Families should be informed about the success of the early surgical treatment for cardiac problems in Down syndrome
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