A 46 year old man with type 2 diabetes mellitus and hypercholesterolaemia presented with an acute inferior ST elevation myocardial infarction, treated with streptokinase. He had persistent ST elevation and was transferred for emergency angiography which documented two severe right coronary artery (RCA) stenoses (panel A). Using a 6 French JR4 guide catheter, the proximal lesion was treated with a 3.5 × 32 mm BSC Liberte stent, post-dilated with a 4.0 × 20 mm balloon (panel B). Positioning of the second 2.75 × 12 mm stent at the crux required deep guide catheter engagement. Angiography …