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Syndrome reference sheet
Generated 13 Oct 2026
Cardiology · Cardiology / Congenital heart disease Hypoplastic left heart syndrome
Also known as: HLHS
Underdevelopment of the left ventricle, mitral and aortic valves and ascending aorta.
- Medical specialty
- Cardiology
- Subspecialty
- Cardiology / Congenital heart disease
- Sex & age distribution
- Male: affected, slightly more common; Female: affected; Children: yes, neonates
- Gene(s) involved
- ETS1, GJA1, HAND1, MYH6, MYH7, NKX2-5, NOTCH1, SMAD6
Etiology & mechanism
Reduced fetal left-sided flow and genetic defects; ductal-dependent systemic circulation.
Gene(s) involved (8)
ETS1GJA1HAND1MYH6MYH7NKX2-5NOTCH1SMAD6
Symptoms & signs (7)
absent peripheral pulsesmetabolic acidosisneonatal cyanosispoor feedingshock on ductal closuresingle second heart soundtachypnea