Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Additive Role of Coronary Magnetic Resonance Angiography for the Evaluation of Coronary Artery Disease

  • Kim, Min Jeong (Department of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital) ;
  • Yoon, Yeonyee E. (Department of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital) ;
  • Park, Jin Joo (Department of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital) ;
  • Kim, Yeo Koon (Department of Radiology, Cardiovascular Center, Seoul National University Bundang Hospital) ;
  • Chun, Eun Ju (Department of Radiology, Cardiovascular Center, Seoul National University Bundang Hospital) ;
  • Choi, Sang Il (Department of Radiology, Cardiovascular Center, Seoul National University Bundang Hospital) ;
  • Cho, Goo-Young (Department of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital)
  • Received : 2016.08.09
  • Accepted : 2016.10.07
  • Published : 2017.05.31
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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.

Keywords

Acknowledgement

Supported by : National Research Foundation of Korea (NRF)

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