Hematomas and coronary dissections are rare and little-known features of acute coronary syndrome (ACS) or even sudden death, especially in young women. Relatively large series have been published over the past five years to highlight this underestimated condition. Thus, the diagnostic and therapeutic modalities are better and better understood. We report a clinical case of coronary dissection in a 52-year-old patient due to compressional wall hematoma demonstrated in coronary angiography. The evolution was favorable under medical treatment combining platelet antiaggregants and beta blockers. Our case illustrates an approach to this particular entity while reviewing its clinical and paraclinical characteristics, its therapeutic management and its evolution.
spontaneous dissection of coronary arteries
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