An unusual case of a bicuspid aortic valve and non compaction of the left ventricle

Introduction: Myocardial noncompaction is thought to be a rare genetic disorder of myocardial morphogenesis. Case Report: We report the case of a 22­year­old male with left ventricular noncompaction, bicuspid aortic valve and ascending aortic dilation. We discuss the genetic basis of myocardial noncompaction and potential etiologies that manifest in hyper­ trabeculated myocardium in the presence or absence of extracardiac abnormalities. Conclusion: Myocardial noncompaction is a rare genetic disorder thought to arise from disruption of normal organogenesis during development. Many genetic abnormalities have been associated with myocardial non­ compaction. Recent research prompts the question of whether various genetic mutations exert their effect via a common pathway which manifest in similar morphological findings.