Additive Role of Coronary Magnetic Resonance Angiography for the Evaluation of Coronary Artery Disease.
- Author:
Min Jeong KIM
1
;
Yeonyee E YOON
;
Jin Joo PARK
;
Yeo Koon KIM
;
Eun Ju CHUN
;
Sang Il CHOI
;
Goo Young CHO
Author Information
- Publication Type:Case Report
- Keywords: Coronary artery disease; Magnetic resonance angiography
- MeSH: Angiography; Cicatrix; Coronary Artery Disease*; Coronary Vessels*; Humans; Magnetic Resonance Angiography*; Magnetic Resonance Imaging; Perfusion; Phenobarbital
- From:Korean Circulation Journal 2017;47(3):409-412
- CountryRepublic of Korea
- Language:English
- Abstract: Coronary magnetic resonance angiography (CMRA) allows a noninvasive assessment of the coronary anatomy without exposing the patients to radiation. It is also superior to coronary computed tomography angiography (CCTA) for the evaluation of luminal narrowing in heavily calcified coronary segments. We report a case with triple-vessel disease, but it could not be accurately assessed by CCTA because of calcification and lack of a significant perfusion defect or myocardial scarring on cardiac magnetic resonance imaging (MRI). However, whole-heart CMRA performed as part of the cardiac MRI protocol demonstrated significant triple-vessel disease with left main involvement, confirmed by subsequent invasive angiography with a fractional flow reserve measurement.
