18-year-old female with acute ST elevation myocardial infarction

Acute coronary syndrome (ACS) is a rare disease entity among young female patients. Intra mural hematoma is a diagnostic consideration in a population at low risk for classic pathophysiologic mechanisms underlying acute coronary syndromes, namely plaque rupture or plaque erosion. We describe a case of a young female patient presenting with acute coronary syndrome attributed to intra mural hematoma.