Hypertrophic obstructive cardiomyopathy (HOCM) is rare genetic disorder characterized by left ventricular tract (LVOT) obstruction. Clinical presentation varies from absence of symptoms, angina pectoris, syncope to sudden death. HOCM may present to anaesthesiologist more often than anticipated, sometimes in undiagnosed form during routine perioperative visit. Surgery & anaesthesia may complicate perioperative outcome. Therefore, complete understanding of pathophysiology, haemodynamic changes & anesthetic implications is needed for successful perioperative outcome.
In this case report, we describe management of patient with HOCM, who underwent inguinal hernia repair surgery under general anaesthesia + inguinal nerve block