Spontaneous @entity453 , which causes @entity1187 and can result in @entity944 , is rare; but its true incidence is underestimated, since most @entity1 die suddenly, without diagnosis. The aim of this study was to show the importance of prompt diagnosis and treatment. In reviewing the records of 5,000 consecutive @entity1 who underwent coronary angiography between January 2001 and August 2006, we found 6 cases of spontaneous @entity453 (an incidence rate of 0.12%). Five @entity1 presented with left main @entity453 and 1 @entity1 , with right @entity453 . Angioplasty with stenting failed in the @entity1 with right @entity453 . Coronary artery bypass surgery was performed in all @entity1 . The @entity1 with right @entity453 died of @entity295 on the 30th postoperative day. The other 5 @entity1 (83.3%) are still free of symptoms, and they had negative results on stress tests at the 6- and 12-month follow-up visits after coronary artery bypass surgery. The clinical presentation of spontaneous left main @entity453 was similar to that of @entity731 . However, early diagnosis of spontaneous @entity453 by means of coronary angiography is of paramount importance, because urgent coronary artery bypass grafting can be lifesaving.

Surgical management of spontaneous XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['acute coronary syndrome'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity944 :: ('MESH:D003645', 'Disease') :: ['sudden death'] @entity731 :: ('MESH:D050197', 'Disease') :: ['atherosclerotic disease'] @entity453 :: ('MESH:D003324', 'Disease') :: ['coronary artery dissection']
@entity453 :: (MESH:D003324,Disease) :: ['coronary artery dissection']
