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Living with Genito-palato-cardiac syndrome

A rare syndrome present at birth with differences in the genitals, palate, jaw, and heart.

Understanding Genito-palato-cardiac syndrome

Genito-palato-cardiac syndrome is a rare condition with differences of the genitals, palate, and heart present at birth.

It features male 46,XY gonadal dysgenesis (the testes do not develop typically), cleft palate, a small lower jaw (micrognathia), and heart defects. There can also be nonspecific differences in the bones, brain, and kidneys. It is noticed during pregnancy or in the newborn period.

Signs & symptoms

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

  • Cleft palate
  • Small lower jaw (micrognathia)
  • Heart defects
  • Gonadal dysgenesis (atypical testes development)
  • Hypospadias and undescended testes
  • Slow growth before birth

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 ear, nose, and throat specialists, genetic specialists, hormone specialists and urinary and male reproductive system specialists.

  3. Ask which tests can help

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

  4. Connect with expert centers

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Urinary and male reproductive system specialists (urologists)
Expert care
Expert lists: World Craniofacial Foundation
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 World Craniofacial Foundation and other patient organizations
  • 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
Can genetic testing find the cause for my child?
Which specialists should be on the care team, such as cardiology and surgery?
How should the kidneys and bones be checked?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive

Changes in genes cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive). GARD does not name the gene.

GeneticEndocrineUrinary and Reproductive

Also known as: gardner silengo wachtel syndrome; gardner-silengo-wachtel syndrome; genitopalatocardiac syndrome

Patient organizations

Source: NIH GARD · Genito-palato-cardiac syndromeGARD ID 2460 · 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 Genito-palato-cardiac syndrome.

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