Background
Coronary spasm is a rare condition that occurs in premenopausal women in
association with phases of the menstrual cycle, and is thought to be
associated with a decrease in estrogen levels. To our knowledge, there
have been no reports to date of anesthesia management of patients with
menstrual-associated coronary spasm. We encountered a case of a patient
with a history of coronary spasm induced by hormonal changes in the
menstrual cycle, who was treated with intraoperative prophylaxis and
appropriate anesthesia to prevent coronary spasm attacks during surgery
for endometrial ablation. We here report a review of the anesthetic
management of this rare case.