Relationship between Aortic angle , Hypertension, HCM
Many of the HCM patients may show similar features .When ASH is confined only to basal IVS. HCM should not be diagnosed instead it is often a defect of aorta /IVS alignment .
Abnormal aortic angle with that of IVS may make the IVS appear sigmoid.
If patients with abnormally angled aorta develop hypertension ASH and sigmoid septum is more pronounced .
IVS dragging by mass effect on aortic root is possible and Aortic regurgitation may ensue