These images are from a 51-year-old man who presented to the emergency department with an anterior ST-segment elevation myocardial infarction, Killip class I. During emergency coronary angiography, we were unable to engage the right coronary artery (RCA) with a JR4 catheter (Cordis, Bridgewater, New Jersey) and proceeded to engage the left coronary artery with an XB3.5 guiding Figure 1. Angiographic Images (A) LAO caudal angiography pre-PCI. (B to D) RAO caudal, AP cranial, and LAO caudal angiography, respectively, post-PCI. (E) CT angiography. CT ϭ computed tomography; LAO ϭ left anterior oblique; PCI ϭ percutaneous coronary intervention; RAO ϭ right anterior oblique.
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