4 - Increase functional capacity, the ability to carry out activities, reduce risk factors of immediate and potential complications by follow up of the child's condition from the first moment of his/her arrival to the Heart Institute, per-post operative period, then follow-up at Cardiology outpatient clinic and attend family -care program improve quality of life and emotional stability of the child.

5 - Furthermore, early remediation strategies and compensatory techniques may be implemented to increase functional independence and enhance the health and well being of the child and family.

References

J.A.Conner, R.R. Arons, M.Figueroa, and K.M. Gebbie. Clinical Outcomes and Secondary Diagnoses for Infants Born with Hypoplastic Left Heart Syndrome. Pediatrics, August 1, 2004; 114(2): el 60 - e 165.

2 - Limperopoulos C, Majnemer A, Shevell M. Rosenblatt B.Child with Down syndrome and congenital heart defects before and after open heart surgery.Pediatrics.2003; 203:234 - 239

3 - Bellinger DC, Rappaport LA, Wypij D. Patterns of developmental dysfunction after surgery during childhood period to correct transposition of the great arteries .J Developmental Behavior for Pediatric .2003; 23:901 - 908.

4 - Hovels- Gurich HH, Seghye MC,Dabritz S,Messmer BJ. Cognitive and motor development among Down syndrome with congenital heart defects . J Thoracic Cardiovascular Surgery. 2003; 321: 654 - 660.

5 - Blackwood M, Haka- Ikse K,Steward D. Developmental outcome in children undergoing open heart surgery. Anesthesiology . 2003 ; 109: 876 - 880.