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These investigators from Australia present a case of isolated left ventricular (LV) apical hypoplasia with fatty infiltration confirmed by CT and MRI. The left anterior descending artery was small and truncated early on angiography. Echocardiography showed a large banana-shaped right ventricle (RV) that wrapped around the apex of the hypocontractile truncated LV. Also there was apical papillary muscle insertion.

New Cardiomyopathy