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.