Patent Ductus Arteriosus with a Rare Hand Anomaly

Abstract

Congenital heart defects are associated with various extracardiac malformations. Among them, association of congenital upper-limb malformations is common and frequently referred as heart–hand syndrome. Thumb malformations are most frequent among upper-limb malformations. The most common among them is Holt–Oram syndrome which consists of atrial septal defect with absent radius or thumb anomalies. Patent ductus arteriosus (PDA) with hand anomalies are quite rare. The authors present a peculiar hand deformity with PDA in a 2-month-old infant. The right hand revealed oligodactyly with syndactyly of the thumb and forefinger, the absence of carpal bones, few metacarpals, and phalangeal components.