A rare case of iatrogenic retrograde coronary dissection spreading antegradely during coronary angiography: emergency revascularization

The incidence of iatrogenic aortocoronary dissection during percutaneous coronary intervention (PCI) has been reported approximately 0.1%.[1] Although rare, it may have catastrophic consequences due to rapidly impaired antegrade coronary blood f low as a result of unpredictable nature of the dissection f lap.[2] Therefore, an urgent revascularization strategy should be considered as the appropriate approach in such cases. Herein, we report a case of cardiogenic shock caused by iatrogenic coronary dissection and treated by urgent revascularization. We present this case due to its rarity in the literature.