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A visceral heterotaxy characterized by complete atrioventricular septal defect with a common atrium and univentricular AV connection, total anomalous pulmonary drainage, and transposition or malposition of the great arteries and may be associated with bilateral trilobed lungs, midline liver, asplenia and situs inversus affecting other organs that has material basis in homozygous mutation in the GDF1 gene on chromosome 19p12.
Features include always present findings: Common atrium, Total anomalous pulmonary venous return, and Asplenia; and common findings: Situs inversus totalis, Dextrocardia, and Transposition of the great arteries. 20 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Lungs and breathing | 3 | Abnormal lung lobation, Total anomalous pulmonary venous return, Pulmonary artery atresia |
GDF1 encodes growth differentiation factor 1 (372 aa). May mediate cell differentiation events during embryonic development
Right atrial isomerism is associated with mutations in the GDF1 gene on chromosome 19.
The GDF1 protein participates in Signaling by NODAL pathway.
GDF1 is classified as a druggable target (Druggable Genome, Growth Factor, and Transcription Factor categories) with score 0.0.
Genetic testing for GDF1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for right atrial isomerism has been reported in the published literature.
Phenotype severity distribution: 3 always present features, 3 common features.
No clinical trials have been registered for right atrial isomerism.
140 publications have been identified in PubMed for right atrial isomerism. Research spans Case Report / Case Series (43%), Clinical Trial Publication (16%), and Epidemiology / Natural History (11%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 60 | 43% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 12:18 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Heart and blood vessels |
3 |
Right atrial isomerism, Ventricular septal defect, Atrial septal defect |
Digestive system | 1 | Abdominal situs ambiguus |
Age of onset: at birth.
23 |
16% |
Disease patterns and progression | 16 | 11% |
Laboratory research | 15 | 11% |
Research summaries | 12 | 9% |
Testing and diagnosis research | 7 | 5% |
New treatment approaches | 5 | 4% |
Other research | 2 | 1% |
Mathys L (2026). [PMID: 41487533](https://pubmed.ncbi.nlm.nih.gov/41487533/). *Proc (Bayl Univ Med Cent)*. [Case Report / Case Series]
Paudel S (2026). [PMID: 41542032](https://pubmed.ncbi.nlm.nih.gov/41542032/). *Radiology case reports*. [Basic Science / Preclinical]
Limratana P (2026). [PMID: 41124325](https://pubmed.ncbi.nlm.nih.gov/41124325/). *World J Pediatr Congenit Heart Surg*. [Diagnostic / Biomarker]
Arrigo A (2026). [PMID: 41674076](https://pubmed.ncbi.nlm.nih.gov/41674076/). *HGG Adv*. [Gene Therapy / Novel Therapeutics]
Hsieh N (2026). [PMID: 41555595](https://pubmed.ncbi.nlm.nih.gov/41555595/). *Cardiology in the young*. [Clinical Trial Publication]
Ahmed Z (2026). [PMID: 41890497](https://pubmed.ncbi.nlm.nih.gov/41890497/). *Cureus*. [Case Report / Case Series]
Guo Z (2026). [PMID: 39969775](https://pubmed.ncbi.nlm.nih.gov/39969775/). *J Appl Genet*. [Review / Meta-Analysis]
Langer S (2026). [PMID: 41513036](https://pubmed.ncbi.nlm.nih.gov/41513036/). *Journal of pediatric surgery*. [Case Report / Case Series]
Huang B (2026). [PMID: 42110452](https://pubmed.ncbi.nlm.nih.gov/42110452/). *Front Med (Lausanne)*. [Epidemiology / Natural History]
Ebrahim MA (2026). [PMID: 41767024](https://pubmed.ncbi.nlm.nih.gov/41767024/). *CJC pediatric and congenital heart disease*. [Epidemiology / Natural History]
AI-curated news mentioning right atrial isomerism
Updated Jun 12, 2026
A recent publication discusses a rare case involving a young patient with a combination of right atrial lipoma, coronary stenosis, and a myocardial bridge. This case highlights the complexities of diagnosing and managing multiple rare cardiac conditions simultaneously.