Abstract
We present a comprehensive case of left ventricular non-compaction (LVNC) in a 45-year-old woman, focusing on diagnostic approaches and management strategies. LVNC is a rare congenital cardiomyopathy characterized by excessive trabeculations and a spongy myocardial appearance, predisposing patients to heart failure, arrhythmias, and thromboembolism. The case outlines the diagnostic process, including echocardiography and cardiac MRI, highlighting findings such as reduced ejection fraction, fibrosis, and left ventricular trabeculations. Management included heart failure therapy, anticoagulation, and potential device implantation. The case emphasizes the significance of early recognition, multidisciplinary management, and ongoing research into the genetics and treatment of LVNC.
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