Document Type

Article

Publication Date

2026

Abstract

This case study presents a 40-year-old female in for an annual echocardiogram. Diagnostic evaluation included a transthoracic echocardiogram (TTE), cardiac CT, MRI, and genetic testing. Echocardiographic findings demonstrated prominent trabeculation consistent with left ventricular non-compaction (LVNC). Cardiac function was otherwise normal with an ejection fraction of 55% and no hemodynamically significant valvular heart disease. Cardiac CT further supported the diagnosis by revealing prominent right-sided trabeculi. Despite these structural abnormalities, the patient remained fairly asymptomatic with management consisting of routine TTE every 6-12 months and a 14-day Holter patch to monitor for arrhythmias. This case demonstrates the importance of multimodality imaging in the diagnosis of LVNC and emphasizes the need for ongoing monitoring to identify potential complications, such as arrhythmias or heart failure.

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