Which congenital heart defect is commonly associated with Down Syndrome?

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The congenital heart defect most commonly associated with Down Syndrome is the endocardial cushion defect, also known as atrioventricular canal defect. This condition is characterized by a combination of atrial and ventricular septal defects along with a single common atrioventricular valve. It results from the failure of the endocardial cushions to fuse during embryonic development, which is a key developmental anomaly linked to Down Syndrome.

Children with Down Syndrome have a higher prevalence of this specific defect compared to other congenital heart defects, making it particularly significant in neonatal care. The presence of an endocardial cushion defect can lead to increased pulmonary blood flow and heart failure. Recognizing this condition early allows for timely intervention, which is critical for improving outcomes in affected infants.

Other congenital heart defects like atrial septal defects, ventricular septal defects, and truncus arteriosus do occur in the general population but are not as strongly associated with Down Syndrome as the endocardial cushion defect is. Understanding this link is essential for neonatal intensive care nursing, as early diagnosis and appropriate management can profoundly impact the long-term health of patients with Down Syndrome.

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