Abstract
While primary percutaneous coronary intervention (PCI) in ST elevation myocardial infarction has a beneficial impact on patients’ outcome [1], delayed reopening of an infarctrelated artery seems to lack favorable effects in the light of the occluded artery trial (OAT) [2]. Yet, we want to demonstrate a case of a man with an inferior ST elevation myocardial infarction (STEMI) with delayed primary PCI of the right coronary artery (RCA) and confirmation of an virtually transmural inferior scar in cardiac magnetic resonance (CMR) late gadolinium enhancement (LGE) imaging. Three years later, collaterals from the re-opened RCA to the left anterior descending artery (LAD) helped to prevent an anterior wall myocardial infarction when LAD occlusion occurred.
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