A case of an atypical form of cardiomyopathy, in which biopsy showed bizarre myocardial hypertrophy with disorganization, and in which there was no obvious hypertrophy of the interventricular septum and left ventricular free wall, is presented. Ventricular filling was critically impaired, and consequently pulmonary and systemic venous congestion predominated in the clinical presentation which was similar to that of restrictive cardiomyopathy.