A 70-year-old woman was referred to the department due to a symptomatic sev
ere calcific-aortic stenosis. During pre-operative transradial approach cor
onagraphy occured a iatrogenic dissection of the left main artery with tota
l occlusion and cardiac arrest (asystole).
Successful rescusitation is achieved with an emergency strategy of percutan
eous direct stenting revascularization combined with cardiopulmonary resusc
itation manoeuvres.