Keith has a congenital heart defect. It is common for people with Down syndrome to have some type of heart defect. The defect he has is called a VSD (ventricular septal defect). It is a hole in his heart, between the two bottom chambers. All of his life he has been followed by pediatric cardiologists. In March , after combing through all of his echos and other records for the past 7 years , his cardiologists made the decision that it's time to close up the VSD. Additionally he will have a pericardial window put in to prevent fluid from building up around his heart as it did in the past. As was told to us, this surgery will improve the quality of his life. Our cardiologist said he knows that Keith is an active teen and he doesn't want to slow him down. Amen to that! We have also been told he will have more energy. He's already an energetic guy, so we can only imagine what lies ahead!