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.