Abstract: This article presents the case of a 71-year-old man who developed septic shock complicated by acute renal failure. Because of clinical suspicion of myocardial infarction, 24 hours before passing away, the patient had a coronary cineangiography. Limited incidences and views have been used to avoid contrast-induced nephropathy and no significant lesions were founded. However, the autopsy revealed significant stenosis of coronary arteries. This case report discusses the paradox of this finding.