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Left ventricular non-compaction presenting with heart failure and intramural thrombus
  1. Madan Raj Aryal1,
  2. Madan Badal1,
  3. Smith Giri2,
  4. Rajesh Pradhan3
  1. 1Department of Internal Medicine, Reading Health System, West Reading, Pennsylvania, USA
  2. 2Department of Internal Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
  3. 3Department of Medicine, Division of cardiology Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA
  1. Correspondence to Dr Madan Raj Aryal, aryal.madan{at}


Left ventricular non-compaction (LVNC) is a rare disorder caused by the arrest of myocardial compaction during embryogenesis, leading to a non-compacted endocardial layer with marked trabeculations. The diagnosis is primarily based on echocardiographic demonstration of a spongy myocardium. Here, we present a young male with LVNC presenting with left heart failure and multiple left ventricular thrombi. We also review the presentation, diagnosis and management of this condition.

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