Management
Management depends upon the presenting symptoms. In most people who are hemodynamically stable without high-risk coronary involvement, conservative medical management with blood pressure control is recommended. In these people, especially if angiography demonstrates adequate coronary flow, the most likely course usually leads to spontaneous healing, often within 30 days. Anti-coagulation should be discontinued upon diagnosis of SCAD on coronary angiography as continuation of anti-coagulation may lead to hematoma and dissection propagation.In cases involving high-risk coronaries, hemodynamic instability, or a lack of improvement or worsening after initial attempts at treatment, urgent treatment with coronary stents or coronary artery bypass surgery may be necessary. Stents carry the risk of worsening the dissection or have an increased risk of other complications as the vessel walls in SCAD are already weak due to the disease before introducing the stent. Large studies into coronary artery bypass surgery are lacking, but this approach is used to redirect blood to the heart around the affected area for cases involving the left main coronary artery or when other approaches fail.Angina, or chest pain due to coronary insufficiency may persist for months after SCAD, sometimes even when repeat angiography shows vessel healing. Anti-anginal agents such as nitrates, calcium channel blockers and ranolazine are indicated as anti-anginal pharmacologic agents after SCAD. Control of hypertension is also indicated after SCAD, with beta blockers especially showing a reduction in the recurrence of SCAD.
Monorchism (also monorchidism) is the state of having only one testicle within the scrotum. Terminology
An individual having monorchism can be referred to as monorchid. Causes
This can be due to:

One testicle not descending into the scrotum during normal embryonic or fetal development (3–4% of normal live births), also known as undescended testis or cryptorchidism. In this case the testis is within the abdominal cavity, somewhere along the normal route of descent – most commonly, within the inguinal canal. Such a testis has an increased risk of malignancy. One testicle may disappear during development (the so-called vanishing testis) due to some intrauterine insult. This is thought to be most likely vascular, such as testicular torsion. One testicle may have been surgically removed through orchiectomy. One testicle may be injured. Notable cases
Due to testicular cancer
Lance Armstrong, American bicyclist. Ashley Gray, Ironman triathlete
Frank Church, late U.S. Senator and a presidential aspirant in 1976. His monorchism was revealed publicly during the 1976 presidential campaign. Tom Green, Canadian comedian-actor. Richard Herring, English comedian and writer
John Kruk, former baseball player
Mark Latham, former Australian politician. Geoff Horsfield, English footballer. Nenê, Brazilian basketball player. Kevin Curtis, American football player. Nigel Farage, former leader of the UK Independence Party. Bobby Moore, English footballer and World Cup winner. Jimmy White, English snooker player. Due to injury
Archibald Douglas, 4th Earl of Douglas, magnate of the Kingdom of Scotland, and Peer of France. Lost in 1403, while fighting at the Battle of Shrewsbury (The previous year he had lost an eye at the Battle of Homildon Hill).