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Living with Lung agenesis-heart defect-thumb anomalies syndrome

A rare inherited condition with a missing or underdeveloped lung, heart differences, and thumb differences, noticed during pregnancy.

Understanding Lung agenesis-heart defect-thumb anomalies syndrome

Lung agenesis-heart defect-thumb anomalies syndrome is a rare genetic condition in which one lung is partly or fully missing, along with heart and thumb differences.

Heart differences can be complex, such as a hole in the wall between the upper chambers, lung veins that connect abnormally, or a patent ductus arteriosus. Thumb differences may be on one or both sides. Facial differences and other malformations have also been reported. It is noticed during pregnancy.

Signs & symptoms

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

  • Missing or small lung
  • Hole in the heart wall between the upper chambers (atrial septal defect)
  • Abnormal lung veins (anomalous pulmonary venous return)
  • Narrowing of the aorta (coarctation)
  • Patent ductus arteriosus
  • Breathing problems

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 lung and breathing specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Genetic specialists (geneticists); Lung and breathing specialists (pulmonologists)
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 Kids with Heart National Association for Children's Heart Disorders
  • 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 and lung specialists should be on our care team?
Would genetic testing help find the cause?
What genetic counseling is available for future pregnancies?

Quick facts

Symptoms usually startduring Pregnancy
InheritanceAutosomal Recessive

A child inherits a changed copy of the gene from each parent (autosomal recessive). GARD does not name a gene.

GeneticRespiratory

Also known as: lacht; mardini-nyhan association; mardini-nyhan syndrome

Patient organizations

Source: NIH GARD · Lung agenesis-heart defect-thumb anomalies syndromeGARD ID 3378 · 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 Lung agenesis-heart defect-thumb anomalies syndrome.

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