“…Trisomy 21 is manifested by multiple phenotypes, including intellectual disability, congenital heart defects, and muscle hypotonia (Hecht and Hook, 1996;Antonarakis et al, 2004;Mazurek and Wyka, 2015;Antonarakis, 2017;de Graaf et al, 2017;Reeves et al, 2019;Bull, 2020;de Graaf et al, 2021). Advanced maternal age, environmental factors, as well as meiotic and mitotic errors are the main risk factors for trisomy 21 (Antonarakis et al, 1992;Torfs and Christianson, 2003;Allen et al, 2009;Ghosh et al, 2009;Nagaoka et al, 2012;Hunter et al, 2013;Coppede, 2016;Gruhn et al, 2019;Keen et al, 2020). Here, we present a rare case about a young couple with normal karyotypes who underwent IVF and ET assisted pregnancy.…”