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Why are some South African children with Down syndrome not being offered cardiac surgery?Lawrenson JB; Kalis NN; Pribut H; Hewitson J; Shipton S; Stirling J; De Decker RS Afr Med J 2006[Sep]; 96 (9 Pt 2): 914-9About 1 in 1,000 children has Down syndrome. Extra chromosomal material results in a myriad of potential problems for the affected individual. About 40% of Down syndrome children will have cardiac abnormalities, ranging from the simple arterial duct to the complex atrioventricular septal defect. Virtually all these defects are amenable to surgical correction and extended survival is possible. In South Africa many of these children do not undergo cardiac surgery.|Cardiac Surgical Procedures/*statistics & numerical data[MESH]|Child[MESH]|Delivery of Health Care/*statistics & numerical data[MESH]|Down Syndrome/*complications[MESH]|Heart Defects, Congenital/complications/*surgery[MESH]|Humans[MESH]|South Africa[MESH] |
