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Living with HEC syndrome

A rare genetic condition that can affect the heart, brain fluid, and eyes, with signs starting around birth.

Understanding HEC syndrome

HEC syndrome is a rare heart condition that comes with fluid buildup in the brain and clouding of the eye lens (cataracts) from birth.

The name comes from three features: communicating hydrocephalus (extra fluid in the brain), endocardial fibroelastosis (thickening of the heart's inner lining), and congenital cataracts. It starts in the newborn period. GARD notes it has not been described in the medical literature since 1995.

Signs & symptoms

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

  • Extra fluid in the brain (communicating hydrocephalus)
  • Thickening of the heart's inner lining (endocardial fibroelastosis)
  • Clouding of the eye lens at birth (cataract)
  • Disease of the heart muscle (cardiomyopathy)
  • Abnormal heart rhythm (arrhythmia)
  • Trouble breathing (respiratory insufficiency)

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 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.

  4. Connect with expert centers

    Children's Cardiomyopathy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Children's Cardiomyopathy 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 Children's Cardiomyopathy Foundation
  • 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 be on our care team for the heart, brain, and eyes?
Would genetic testing help explain the cause in our family?
How often should the heart and the fluid in the brain be checked?

Quick facts

Symptoms usually startNewborn

GARD says changes in genes (also called variants) cause HEC syndrome. It also notes a link with a mother's upper respiratory infection in early pregnancy and extra amniotic fluid late in pregnancy.

Genetic

Also known as: hec (hydrocephalus, endocardial fibroelastosis, cataract) syndrome; hydrocephalus with endocardial fibroelastosis and cataract syndrome; hydrocephalus-endocardial fibroelastosis-cataract syndrome; hydrocephalus, endocardial fibroelastosis, and cataracts

Patient organizations

Broader rare-disease groups

Source: NIH GARD · HEC syndromeGARD ID 2620 · 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 HEC syndrome.

Explore the HEC syndrome blog

Explore research for HEC syndrome

Explore actively recruiting HEC syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for HEC syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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