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Living with Hypoplastic left heart syndrome

A heart condition present from birth in which the left side of the heart is underdeveloped.

Understanding Hypoplastic left heart syndrome

Hypoplastic left heart syndrome (HLHS) is a heart condition present from birth in which the left side of the heart is underdeveloped.

The left side includes the aorta, aortic valve, left ventricle, and mitral valve. At birth, blood flows through openings that normally close a few days later. There may be no symptoms for a few days. When the openings close, symptoms develop quickly, such as breathing problems, a pounding heart, a weak pulse, and ashen or bluish skin. Some children also have other heart defects.

Signs & symptoms

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

  • Underdeveloped left heart chamber
  • Underdeveloped aortic arch
  • Breathing problems
  • Pounding heart
  • Weak pulse
  • Ashen or bluish skin color

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 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

    Conquering CHD may keep lists of experts for this condition.

Care & treatment

Care team
Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Conquering CHD
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 Conquering CHD 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
Which heart treatments or surgeries are planned?
Which specialists should be on our care team?
Should we have genetic testing?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn

In most children the cause is not known. In some, isolated HLHS is genetic, due to changes in the GJA1 gene (autosomal recessive) or the NKX2-5 gene (autosomal dominant). It has also been reported with Turner syndrome, Jacobsen syndrome, trisomy 13, and trisomy 18.

Also known as: heart left ventricle hypoplasia; hlh - hypoplastic left heart syndrome; hlhs; hlhs - hypoplastic left heart syndrome; hypoplastic left heart; hypoplastic left ventricle

Patient organizations

Source: NIH GARD · Hypoplastic left heart syndromeGARD ID 6739 · 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 Hypoplastic left heart syndrome.

Explore the Hypoplastic left heart syndrome blog

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Explore actively recruiting Hypoplastic left heart syndrome studies with HealthSpark.

HealthSpark

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

  • Recruiting studies from ClinicalTrials.gov
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  • 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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