Anesthetic management of carcinoma of thyroid involving trachea in a patient with hypertrophic obstructive cardiomyopathy

Airway management still remains a challenge for anesthesiologists. We discuss a case of carcinoma of thyroid infiltrating trachea, causing respiratory distress in a patient with hypertrophic obstructive cardiomyopathy. This presentation is itself a challenge to the anesthesiologists in view of difficult airway. Hypertrophic obstructive cardiomyopathy can worsen the condition. To avoid and manage any complications, we need to anticipate the course of surgery and design a successful anesthetic plan.