“Inverted” Asymmetrical hypertrophy of left ventricle: Unusual variant of an uncommon disease

Hypertrophic cardiomyopathy (HCM) is a rare genetic disease. Usual presentation is asymmetrical hypertrophy of interventricular septum as compared to the posterior wall of the left ventricle. We present a rare variant of HCM in which the posterior wall of the left ventricle is more hypertrophied than ventricular septum (inverted asymmetry). Very few cases are reported in literature.