In many other special elections that Democrats have lost, the vote has shifted sharply in their direction compared to the 2016 presidential results.
With the rising awareness of sexual harassment in the USA and a rejuvenated women's movement, the Republicans also fielded a women, Debbie Lesko, to run against Ms Tipirneni.
Ms. Lesko, 59, ran as a dependable supporter of Mr. Trump and assailed Ms. Tipirneni for not backing White House priorities like the construction of a wall on the Mexican border.
Dr. Hiral Tipirneni had hopes of being the voice of the 8th Congressional District in Arizona, but the Democrat was unable to garner enough votes in the special election general April 24, falling short to her Republican counterpart Debbie Lesko.
But while Arizona 8 looks pretty much like the average special election so far, there are three reasons why we might have expected Republicans to do significantly better than average.
"They should clean house in this election", said Coughlin, longtime adviser to former Arizona Gov. Jan Brewer. Together, the Republican National Committee, National Republican Congressional Committee and Congressional Leadership Fund spent more than $900,000 on the Arizona race, nearly all of it dedicated to turning out Republican votes. She outraised Ms. Lesko in what was the first high-profile congressional election since 2016 between two women.
Ultimately, Sanders said what matters is that Republicans were able to hang onto the vacated Arizona seat and fend off Democrats inching closer to regaining a majority in the House. So, she has got to crush this.
Hiral Tipirneni is an emergency room physician and a cancer research advocate, but many observers see her odds as slim against former state Sen.
National Republican groups spent big to back Lesko, pouring cash into the suburban Phoenix district for television and mail ads and phone calls to voters to ensure her victory.
"We are taking this to November", Tipirneni said.
"Now that almost all of the votes have been counted, we know that the special election goes to our opponent", she said.
With the primary exception of that district in Utah, the results of those special elections have been uniformly positive for the Democrats, even if the party didn't win the seats. The Democratic National Committee, like the RNC, sent in staff.
"In our office, not a day goes by that people don't come in and say, 'I'm a Republican, but I'm voting for you, '" Tipirneni told a local Fox News affiliate Sunday.