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Congenital disease can warp the heart with great variety. Valves can be sealed tight, missing parts - or absent altogether. Major vessels can be misplaced, narrowed, or blocked completely. A chamber can be too small or missing, a wall too thick or thin. The heart's electrical system - its nerves - may go haywire. The muscle can be weak. Holes may occur almost anywhere, in almost any size. Studying heart pathology, one is reminded that the genetic symphony that produces a normal baby is indeed a wondrous and delicate one.