A 57-year-old male patient was admitted to our hospital with squeezing chest pain for 4 hours. On admission, electrocardiography (ECG) showed ST-segment elevation at inferior derivations (II, III, aVF) with fQRS complexes. He was transferred to our cath laboratory for primary PCI, and a totally occluded right coronary artery (RCA) was revascularized with balloon dilatation and stenting (TIMI III flow). PCI, percutaneous coronary intervention.