Two use-cases jump to mind:
* Allows incremental porting of large codebases to ARM. (It's not always feasible to port everything at once-- I have a few projects with lots of hand-optimized SSE code, for example.)
* Allows usage of third-party x64 DLLs in ARM apps without recompilation. (Source isn't always available or might be too much of a headache to port on your own.)