Primary Angioplasty of a Super Dominant Left Anterior Descending Coronary Artery

The posterior descending artery usually arises from either the right coronary artery or the left circumflex artery. Here we report an unusual case of super-dominant left anterior descending coronary artery continuing as the posterior descending artery beyond the crux which was totally occluded in a patient who presented with acute anterior wall myocardial infarction. Successful primary angioplasty and stenting of the super-dominant left anterior descending coronary artery was performed. JCMS Nepal. 2016;12(2):81-82