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KMID : 0368120170470030409
Korean Circulation Journal
2017 Volume.47 No. 3 p.409 ~ p.412
Additive Role of Coronary Magnetic Resonance Angiography for the Evaluation of Coronary Artery Disease
Kim Min-Jeong

Yoon Yeon-Yee E.
Park Jin-Joo
Kim Yeo-Koon
Chun Eun-Ju
Choi Sang-Il
Cho Goo-Young
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.
KEYWORD
Coronary artery disease, Magnetic resonance angiography
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