We report the case of a 41-year-old male with traumatic coronary artery Shock dissection after a high-speed motor vehicle collision.Computed tomography imaging revealed multiple intracranial subdural and subarachnoid bleedings, a skull base fracture and multiple bilateral rib fractures.There was no pericardial hemorrhage, haemothorax or pneumothorax.No intra-abdominal lesions were found.A 12-lead electrocardiogram on arrival showed an acute myocardial infarction.
Emergency angiography showed complete dissection of the right coronary Safety and Emergency Products artery without reflow after placement of 6 coronary stents.The patient passed away the day after.In retrospective, the right coronary dissection was visible on the trauma CT-scan.