Coronary stenting in the setting of spontaneous coronary artery dissection

Spontaneous coronary artery dissection is a rare cause of myocardial ischae mia. Typically it affects young, apparently healthy females, and may result in significant myocardial loss or even death. Due to the rarity of the con dition there are no clear guidelines for its management. We describe two ca ses of spontaneous coronary artery dissection and report successful coronar y stenting of the affected artery in one patient. We believe that this inte rventional technique may be the treatment of choice in selected patients wi th this condition. (C) 1998 Elsevier Science Ireland Ltd. All rights reserv ed.