Abstract

Serial coronary angiograms of a patient before and after an inferior wall myocardial infarction document a flush occlusion of a posterolateral arterial branch of the right coronary artery. The case illustrates that one-time angiography may fail to demonstrate complete occlusion and loss of a branch coronary artery. This sequence of events may explain the apparently normal coronary arteriograms in patients with documented inferior myocardial infarctions.

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