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Updated: May 30, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
[The "heart-hand" syndrome in a 8-year-old-boy with short stature]
Elzibieta Petriczko1, Anita Horodnicka-Józwa, Piotr Prowans
1Klinika Pediatrii, Endokrynologii, Diabetologii, Chorób Metabolicznych i Kardiologii Wieku Rozwojowego PUM w Szczecinie. elzbietapetriczko@gmail.com
Insights
This report details a new case of heart-hand syndrome, a rare genetic disorder affecting limb and heart development. The patient presented with limb abnormalities and cardiac defects, highlighting the syndrome's varied presentation.
Area of Science:
- Genetics and Developmental Biology
- Cardiology
- Orthopedics
Background:
- Heart-hand syndrome encompasses a group of genetic disorders characterized by congenital anomalies of the upper limbs and heart.
- Holt-Oram syndrome (HOS) is the most common type, occurring in about 1 in 100,000 live births.
- Syndromes are classified into types based on specific limb and cardiac manifestations.
Observation:
- A new family case of heart-hand syndrome was diagnosed through clinical examination, radiological imaging, and echocardiography.
- The patient exhibited bilateral congenital absence of the radius and thumbs.
- Additional findings included dextrocardia and a patent foramen ovale.
Findings:
- The case expands the known spectrum of heart-hand syndrome presentations.
- Confirms the association between radial ray defects and cardiac anomalies.
- Highlights the diagnostic utility of a multimodal approach.
Implications:
- Further research into the genetic underpinnings of heart-hand syndrome is warranted.
- Early diagnosis and management are crucial for improving patient outcomes.
- This case contributes to a better understanding of rare genetic disorders.
Abstract:
"Heart-hand" syndrome is a broad category of diseases. The most common form is Holt-Oram syndrome (HOS) that occurs in approximately 1:100 000 live births. It is characterized by upper limb defects (carpal bone defects, triphalangeal thumbs, hypoplasia or absence of the thumb and the radial ray) and cardiac septal defects (atrial septal defects or ventricular septal defects). There are three main types of "heart-hand" syndromes. "Heart-hand" syndrome type I--HOS is characterised by atrial septal defect and thumb anomaly, type II (Tabatznik syndrome) by short distal phalanx of the thumb, upper limb abnormalities and cardiac arrhythmias, type III by cardiac conduction diseases and shortening of the middle phalanges. The aim of this report is to present a new case of the "heart-hand" syndrome in the family. This diagnosis was established on the base of clinical examination, radiological findings, and echocardiography. Our patient demonstrates congenital bilateral absence of a radial bone and thumbs, dextrocardia and patent foramen ovale.
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