I had a SCAD ten years ago after the birth of my third son. I recently joined the Mayo Clinic Study and she directed me to this website. What I am concerned about is the long term prognosis. My cardiologist explained that the dissection has healed, but in the process left scar tissue that is more likely to cause a blockage in the future. Has anyone else heard this or had it happen to them? Also, beyond seeing the cardiologist once a year and taking aspirin, what else should I be doing?