Related Experiment Video
Updated: May 30, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Common atrium associated with polydactily and dwarfism in middle age male patient
Daut R Gorani1, Lulzim S Kamberi, Nora S Gorani
1Cardiology department. University clinical center of Prishtina, Kosova.
Insights
Polydactyly and dwarfism can indicate congenital heart defects, suggesting Ellis-van Creveld syndrome. Early prenatal diagnosis is possible through advanced fetal testing and genetic analysis.
Area of Science:
- Medical Genetics
- Fetal Medicine
- Cardiology
Background:
- Polydactyly and dwarfism are potential indicators of underlying congenital anomalies.
- Congenital cardiac abnormalities often co-occur with certain genetic syndromes.
Observation:
- Echocardiography revealed findings consistent with Ellis-van Creveld syndrome in a patient presenting with polydactyly and dwarfism.
- The case highlights the association between skeletal dysplasias and cardiac defects.
Findings:
- Ellis-van Creveld syndrome diagnosis was supported by echocardiography.
- Prenatal diagnosis of Ellis-van Creveld syndrome is feasible using fetoscopy, fetal echocardiography, and molecular genetic testing (amniocentesis or chorionic villus sampling).
- Mutation analysis of the EVC gene in fetal DNA aids in prenatal diagnosis.
Implications:
- Early and accurate prenatal diagnosis of rare syndromes like Ellis-van Creveld syndrome is crucial.
- Comprehensive fetal examinations are vital for identifying congenital anomalies.
- Enhanced public education and improved diagnostic facilities are recommended for managing congenital anomalies.
Abstract:
Polydactyly associated with dwarfism may serve as a hint for the presence of additional congenital cardiac abnormalities, thus rousing the demand for a detailed cardiac and genetic investigation. In our case, echocardiography findings led to the diagnosis of most likely Ellis-van Creveld syndrome. We may conclude that prenatal diagnosis of the syndrome can be readily achieved by fetoscopy, fetal echocardiography, and molecular genetic testing by amniocentesis or DNA extracted from chorionic villus samples. Prenatal diagnosis can also be established using mutation analysis of EVC gene from fetal DNA. These cases emphasis the importance of fetal examination for accurate diagnosis of rare syndromes. Education of the general public, especially parents, on congenital anomalies as well as improvement of medical and diagnostic facilities is therefore suggested, if not demanded.
Related Concept Videos
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy II: Dilated Cardiomyopathy
Mitral Stenosis I: Introduction
Mitral Stenosis II: Clinical features and Diagnostic Tests
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Mitral Valve Prolapse I: Introduction
