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</p
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