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Living with Polysyndactyly-cardiac malformation syndrome

A very rare condition present from birth with extra and webbed fingers and toes plus complex heart differences.

Understanding Polysyndactyly-cardiac malformation syndrome

Polysyndactyly-cardiac malformation syndrome is a rare developmental condition with extra, webbed fingers and toes and complex heart defects.

Heart differences can include holes between heart chambers and single ventricle. Other features may include distinctive facial features, nail and bone differences, extra spleens, cysts in the liver or kidneys, and genital differences. Features vary from person to person.

Signs & symptoms

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

  • Extra fingers or toes (polydactyly)
  • Webbed fingers or toes (syndactyly)
  • Heart defects, including holes between heart chambers
  • Wide-set eyes and a small lower jaw
  • Low-set ears
  • Extra amniotic fluid during pregnancy

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.

  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)
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
Would genetic testing find the cause and help with future pregnancies?
Which heart evaluations and treatments are needed?
Should we check the liver, kidneys and other organs?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition but doesn't name a gene. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: bonneau syndrome; polysyndactyly and cardiac malformation syndrome; polysyndactyly with cardiac malformation

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Polysyndactyly-cardiac malformation syndromeGARD ID 4428 · 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 Polysyndactyly-cardiac malformation syndrome.

Explore the Polysyndactyly-cardiac malformation syndrome blog

Explore research for Polysyndactyly-cardiac malformation syndrome

Explore actively recruiting Polysyndactyly-cardiac malformation syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Polysyndactyly-cardiac malformation 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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