🧬 SyndromeScope
Syndrome reference sheet
Generated 13 Oct 2026
Cardiology · Cardiology / Congenital heart disease Heterotaxy syndrome
Also known as: isomerism; Ivemark syndrome (asplenia); polysplenia syndrome; Situs ambiguus
Abnormal left-right organ arrangement with complex congenital heart disease.
- Medical specialty
- Cardiology
- Subspecialty
- Cardiology / Congenital heart disease
- Sex & age distribution
- Male: affected, X-linked ZIC3 form male; Female: affected; Children: yes, neonates
- Gene(s) involved
- ACVR2B, CCDC11, CFC1, GDF1, LEFTY2, MMP21, NKX2-5, NODAL, PKD1L1, ZIC3
Etiology & mechanism
Disrupted left-right axis determination and ciliary function.
Gene(s) involved (10)
ACVR2BCCDC11CFC1GDF1LEFTY2MMP21NKX2-5NODALPKD1L1ZIC3
Symptoms & signs (8)
aspleniabiliary atresiacomplex congenital heart diseasecyanosishowell–jolly bodiesintestinal malrotationpoor feedingrecurrent infections