Case report: spontaneous coronary artery dissection.

Spontaneous coronary artery dissection is a rare cause of ischaemic heart disease occurring most commonly in young women. It is frequently fatal. Our case is unusual in that a very long dissection flap was diagnosed by coronary angiography in a male patient who presented with only minor symptoms. We discuss the pathogenesis of spontaneous dissection and the prognosis for this group of patients.