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Living with Atrioventricular defect-blepharophimosis-radial and anal defect syndrome

A rare genetic syndrome present from birth with a heart wall defect, narrow eyelid openings, and arm and bowel opening differences.

Understanding Atrioventricular defect-blepharophimosis-radial and anal defect syndrome

Atrioventricular defect-blepharophimosis-radial and anal defect syndrome is a rare genetic syndrome with a heart defect, narrow eye openings, and differences in the arms and anus.

It involves a hole in the wall between heart chambers (atrioventricular septal defect) and narrow openings between the eyelids (blepharophimosis). The forearm bone (radius) and thumb may be missing or small, and the anus may be blocked or in a different position. It is noticed in newborns.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Hole in the heart wall (septal defect)
  • Narrow opening between the eyelids
  • Missing or small thumb and forearm bone
  • Blocked or misplaced anus
  • Small head and small lower jaw
  • Crossed eyes and hearing differences

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists, genetic specialists and heart and blood vessel specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which specialists should care for the heart, hands, and bowel?
What surgeries might be needed, and when?
Would genetic testing help our family?

Quick facts

Symptoms usually startNewborn

GARD says changes in genes (also called variants) cause this syndrome but doesn't list a specific gene or inheritance pattern.

Genetic

Also known as: atrioventricular septal defect with blepharophimosis and anal and radial defects; houlston-ironton-temple syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Atrioventricular defect-blepharophimosis-radial and anal defect syndromeGARD ID 2742 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Atrioventricular defect-blepharophimosis-radial and anal defect syndrome.

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