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Living with Patent ductus arteriosus-bicuspid aortic valve-hand anomalies syndrome

A very rare condition with heart and blood vessel differences and short fingers, present from birth.

Understanding Patent ductus arteriosus-bicuspid aortic valve-hand anomalies syndrome

Patent ductus arteriosus-bicuspid aortic valve-hand anomalies syndrome is a very rare heart-hand syndrome.

It combines heart and blood vessel differences, such as an open duct between two major vessels (patent ductus arteriosus), a heart valve with two flaps instead of three (bicuspid aortic valve), and a narrowing-like change in the aorta, with hand differences such as short fingers. GARD says it is most likely autosomal dominant.

Signs & symptoms

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

  • Open duct near the heart (patent ductus arteriosus)
  • Aortic valve with two flaps (bicuspid)
  • Narrowing-like change in the aorta (pseudocoarctation)
  • Short fingers
  • Short fifth hand bone
  • Curved pinkie finger (clinodactyly)

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 bone and joint 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
Bone and joint specialists (orthopedists or orthopedic surgeons); 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
What heart tests and follow-up do I need?
Does the valve or duct need treatment?
Should family members have a heart check?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

Changes in the genes (also called variants) cause this condition. GARD says it is most likely autosomal dominant, which means one changed copy of the gene is enough to cause it.

Genetic

Also known as: patent arterial duct-bicuspid aortic valve-hand anomalies syndrome; patent ductus arteriosus and bicuspid aortic valve with hand anomalies

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Patent ductus arteriosus-bicuspid aortic valve-hand anomalies syndromeGARD ID 17148 · 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 Patent ductus arteriosus-bicuspid aortic valve-hand anomalies syndrome.

Explore the Patent ductus arteriosus-bicuspid aortic valve-hand anomalies syndrome blog

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