CONCLUSION
Iatrogenic aortocoronary dissection after PCI on AMI patients from SCAD is a rare complication. The pathology is characterized by the tendency of evolution and progression as in an acute aortic syndrome. Especially for more extended dissections of the aorta (over 40mm in length), the immediate surgical intervention seems to be the most appropriate treatment. In the case of primary stenting of the left main coronary artery, if possible, the more conservative surgical management techniques reduce the risk of major complications generated from the mobilization of the rigid stented artery.