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During a preprocedural point-of-care cardiac ultrasound examination, we discovered severe left ventricular hypertrophy with a significantly increased ejection fraction and decreased left ventricular cavity size. This prompted emergent cardiology consultation, which confirmed the presence of severe hypertrophic cardiomyopathy with left ventricular outflow tract obstruction. After a brief delay to optimise her heart rate and volume status, the patient successfully underwent an open reduction and internal fixation of the laryngeal cartilage and was discharged in stable condition with plans to undergo a septal myotomy.<\/jats:p>","DOI":"10.1136\/bcr-2023-254690","type":"journal-article","created":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T10:55:25Z","timestamp":1677581725000},"page":"e254690","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Severe hypertrophic cardiomyopathy with left ventricular outflow tract obstruction identified with preprocedural point-of-care ultrasound before emergent tracheal repair"],"prefix":"10.1136","volume":"16","author":[{"given":"Sara","family":"Biladeau","sequence":"first","affiliation":[{"name":"Anesthesiology, University of Louisville School of Medicine, Louisville, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9654-6985","authenticated-orcid":false,"given":"Ryan","family":"Grell","sequence":"additional","affiliation":[{"name":"Anesthesiology, University of Louisville School of Medicine, Louisville, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,2,28]]},"reference":[{"key":"2025082711264593000_16.2.e254690.1","doi-asserted-by":"crossref","unstructured":"Nagre AS . 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