We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Experience of general anesthesia in a patient with menstrual‐associated coronary spasm.
- Authors
Kawachi, Aya; Sudo, Saho; Ishida, Yusuke; Nakazawa, Koichi
- Abstract
Coronary angina due to low estrogen is relatively common around menopause, with almost no reports associated with the menstrual cycle or anesthetic management at younger ages. The patient was a 22‐year‐old woman who had developed ventricular fibrillation due to coronary spasm, resulting in cardiopulmonary arrest. She was resuscitated, and underwent ICD implantation. As her symptoms appeared at specific times during her menstrual cycle, she was diagnosed as having menstrual‐associated coronary spasm, and started taking estrogen/progesterone medication. An endometrial ablation was scheduled for endometrial hyperplasia that was caused by the medicine. The surgery was scheduled in consideration of the patient's menstrual cycle, and general anesthesia was selected as the method of anesthesia. The surgery and perioperative management were uneventful, and her postoperative course was favorable. Our case is the first to our knowledge of general anesthesia performed on a patient with menstrual‐associated coronary spasm.
- Subjects
GENERAL anesthesia; SPASMS; ENDOMETRIAL ablation techniques; MENSTRUAL cycle; VENTRICULAR fibrillation; ENDOMETRIAL hyperplasia
- Publication
Clinical Case Reports, 2023, Vol 11, Issue 7, p1
- ISSN
2050-0904
- Publication type
Case Study
- DOI
10.1002/ccr3.7641