Non-compaction cardiomyopathy (NCC), also called spongiform cardiomyopathy, is a rare congenital cardiomyopathy
that affects both children and adults. It results from the failure of myocardial development during embryogenesis. In this
case report we present a 70 year old male patient presenting with history of dyspnea on exertion and easy fatiguability
of 1 year duration. Echocardiography revealed a biventricular non compaction associated with a patent ductus arteriosus
(PDA). Search through medline showed 8 case reports LV non-compaction associated with PDA in younger patients and
this is the first case report of biventricular non compaction associated with PDA in an elderly patient.
Key words: Cardiomyopathy, Heart Failure, Non Compaction, PDA, Spongiform.