A 35 year-old woman with a restrictive ventricular septal defect and an atrial septal aneurysm was admitted to our clinic. The patient reported mildly limited physical activity and palpitations. Transthoracic echocardiography showed an enlarged left ventricle and left atrium. The size of the right heart cavities was normal. The structure of both ventricle walls revealed a compact epicardial layer and an (A, B). Small defect of interventricular septum (C) with left-to-right shunt and gradient of 110 mm Hg (D). Cardiac magnetic resonance imaging (E, F). Cine balanced steady-state free precession images in end-diastole in four-and two-chamber views. The area of non-compacted myocardium is shown by black arrows; LA -left atrium; LV -left ventricle; RA -right atrium; RV -right ventricle.