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Results Echocardiography and Cardiac magnetic resonance imaging findings Echocardiography revealed mild left and right atrial enlargement, mild to severe left ventricular enlargement, mild left ventricular hypertrophy, left ventricular ejection fraction of 20%, severe right ventricular failure, tricuspid valve regurgitation, tricuspid annular plane systolic excursion of about 17 mm, and no atrial or ventricular septal defect and patent ductus arteriosus, favoring hypertrophic cardiomyopathy, an expected finding in carnitine deficiency

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