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Left ventricular non compaction (LVNC) is a condition rarely diagnosed and reported in current literature. It affects approximately 8 to 12 per 1 million of individuals and its causes are not well understood, but they are linked to gene mutations. The authors present a 29-year-old male who came to medical consult for a pre surgical evaluation. He was completely asymptomatic. Due to an aortic diastolic murmur we performed a transthoracic echocardiogram which revealed severe aortic regurgitation, signs of left ventricular non compaction and coarctation of the aorta. Subsequently, we decided to send him for a CT scan and CMR that allowed to confirm our diagnosis and gave more support to our findings. We ́re aimed to report this case because LVNC was found in a patient without symptoms but with a murmur missed in previous medical evaluations. Then, we encourage to be very accurate in patient’s examination and use noninvasive methods properly in order to identify such important cases.

An infrequent association: Left ventricular non compaction with bicuspid aortic valve and coarctation of the aorta.