Tabriz University of Medical Sciences Journal of Cardiovascular and Thoracic Research 2008-5117 12 4 2020 12 16 Late presentation of iatrogenic dissection of right coronary cusp: A case report 341 344 10.34172/jcvtr.2020.55 EN Ali Eshraghi https://orcid.org/0000-0002-3642-3553 Majid Jalalyazdi Javad Ramezani https://orcid.org/0000-0002-4151-3748 Mostafa Baburian Journal Article 10.34172/jcvtr.2020.55 2019 05 13 2020 04 08 Iatrogenic dissection of coronary arteries while performing catheter engagement, in general is not uncommon. However, we encountered a relatively rare case of iatrogenic right coronary cusp dissection.Here we report an iatrogenic coronary artery dissection after diagnostic angiography in a 54-year-oldwoman presented with exertional dyspnea and chest discomfort. In our case delayed progression of sub-intimal hematoma and subsequent compression of RCA ostium an SA node branch was the cause of SA node dysfunction and subsequent junctional rhythm and atrial fibrillation.To conclude it should be said that in catastrophic cases of iatrogenic coronary ostia dissection and ensuing aortic cusp involvement, stenting of entry point at coronary ostia is a logical decision with good result.