Postoperative neuralgic complications include; seizure disorders; and cognitive, language, behavioral, and social problems, also heart surgical techniques may be relatively straightforward or extremely complex, the degree of complexity usually reflects the degree of risk involved, and is further heightened by risks and conditions associated with newborn immature organ systems, as well as associated with congenital abnormalities that accompany congenital heart disease.(27).

Aim of the study

1 - Apply Cincinnati Children's Down syndrome Program Care for Down syndrome at Coronary Care Unit after surgical repair.

2 - Follow-up of the patient's condition at the Coronary Care Unit and outpatients Clinic for the prevention of complications.

3 - Assess the levels of functional independence in children with congenital heart defects before and after surgical repairs.

Hypothesis

Theoretical framework- Abdellah, F.G Model (28) formed the theoretical framework for this study. Identify five basic elements as the following: