More children die from congenital heart defects (CHD) each year than are di
agnosed with childhood cancer, yet the causes remain unknown. The remarkabl
e conservation of genetic pathways regulating cardiac development in specie
s ranging from flies to humans provides an opportunity to experimentally di
ssect the role of critical cardiogenic factors. Utilization of model biolog
ical systems has resulted in a molecular framework in which to consider the
etiology of CHD. As whole genome sequencing and single nucleotide polymorp
hism data become available, identification of genetic mutations predisposin
g to CHD may allow preventive measures by modulation of secondary genetic o
r environmental factors. In this review, genetic pathways regulating cardio
genesis revealed by cross-species studies are reviewed and correlated with
human CHD.