%0 Case Reports %T Chest Pain and the Dynamic Evolution of Spontaneous Coronary Artery Hematoma. %A Franzino M %A Costa F %A De Ferrari T %A Vizzari G %A Andò G %A Ceresa F %A Patanè F %A Di Bella G %A Micari A %J JACC Case Rep %V 6 %N 0 %D Jan 2023 18 %M 36704054 暂无%R 10.1016/j.jaccas.2022.09.031 %X Spontaneous coronary intramural hematoma (SCIH) is a rare but underdiagnosed condition, with dynamic evolution. We present a patient with acute chest pain and normal coronary angiogram undergoing work-up for myocardial infarction with nonobstructive coronary arteries. Cardiac magnetic resonance revealed an ischemic pattern, and subsequent angiography revealed coronary occlusion by SCIH. (Level of Difficulty: Intermediate.).