An Adolescent with Left Ventricular Noncompaction and Ebstein Anomaly Presenting with Advanced Heart Failure: Discharge from Hospital with a Biventricular Assist Device

A 15-year-old adolescent presented to our emergency department (ED) for evaluation of shortness of breath, nonbilious, nonbloody vomiting, and abdominal pain that began 3 weeks before presentation. He also reported weight loss and constant fatigue for about 1 month, which prevented him from attending school. He complained of difficulty breathing with minimal exertion and could not perform many activities of daily living. He had not been able to sleep lying flat. He denied experiencing chest pain, palpitations, near syncope, or syncope.

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