“…The prevalence of Down syndrome is approximately 1.66 per 1,000 cases, and in the overwhelming majority of cases, the reason for the condition is a free‐standing trisomy 21 [Stoll et al, 1998]. The most frequent additional numerical chromosomal aberrations in addition to trisomy 21 are aneuploidies of the gonosomes, leading to karyotypes like 48,XXY,+21 [Lorda‐Sanchez et al, 1991], 48,XXX,+21 [Park et al, 1995], or 48,XYY,+21 [Stevens et al, 1995]. Small supernumerary marker chromosomes (SMC), on the other hand, are found in 0.01–0.05% of liveborn infants [Buckton et al, 1980].…”