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.
From the *Intensive Care Unit, Geneva University Hospitals; and †Department of Clinical Pathology, Geneva University Hospitals, Geneva, Switzerland.
Manuscript received December 9, 2009; accepted December 23, 2009.
The authors report no conflicts of interest.
Reprints: Karim Bendjelid, MD, PhD, Médecin Adjoint Agrégé, University Hospitals, Intensive Care Unit, Rue Micheli-du-Crest 24, 1205 Geneva, Switzerland. E-mail: Karim.Bendjelid@hcuge.ch.