Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. You seem to be suffering from following possibilities-As the FMD-fibromuscular dysplasia- is very rare disease-could be thought of by experts dealing with strokes and CAD. Besides this knowledge- there is no specific treatment for FMD-as the cause is mostly genetic.Only the stenotic effects like hypertension , thrombotic clots and its ischemic complications could be treated. If proper diagnosis done and cause is fixed- by inerventional radiologists and Vascular Surgeons-rtPA-recombinant tissue Plamingogen Activators-like Activase / Actiplase / streptokinase /Urokinase - could be used at right time to reduce the complications of stenotic hypertension causing Spontaneous Coronary Artery Dissection- and sudden death. Mostly the arterial -renovascular / or carotid / or Coronary complications with FMD -are caused by stenotic effects by abnormal dysplastic cell growth in the muscular arterial walls causing primary stenosis and obstructive stenosis from blood clots later on. -You need to Consult Vascular and Cardia-Vascular-surgeon to fix causes of the SCAD-spontaneous Coronary Artery dissection-if one is lucky to suspect the fibromuscular dysplasia-as a cause of the disease complaint in one s case. Alerts-for you- One can only suspect with high suspicion-but to its rarity- which makes the detection and diagnosis very difficult even with the experts availability. For this to verify Second opinion from another Cardio-Vascular Surgeon and interventional Radiologist as soon as possible is needed if one suspects the FMD as a cause of the vascular or the presenting complaint in any patient, for all practical purposes- which is a challenging task for the treating and attending doctors . Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS Edit AnswerDeleteDisclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.