Cardiovascular Revascularization Medicine
Volume 8, Issue 3 , Pages 209-212, July 2007

Utility of cardiac MRI in guiding revascularization therapy in unprotected left main stenosis: a case report

  • William M. Suh

      Affiliations

    • Division of Cardiology, The University of California, Irvine Medical Center, Orange, CA, USA
    • ,
  • Steven J. Fowler

      Affiliations

    • Division of Cardiology, The University of California, Irvine Medical Center, Orange, CA, USA
    • ,
  • James B. Wallis

      Affiliations

    • Division of Cardiology, Veterans Administration Long Beach Medical Center, Long Beach, CA, USA
    • ,
  • Morton J. Kern

      Affiliations

    • Division of Cardiology, The University of California, Irvine Medical Center, Orange, CA, USA
    • ,
  • Chowdhury H. Ahsan

      Affiliations

    • Division of Cardiology, The University of California, Irvine Medical Center, Orange, CA, USA
    • Corresponding Author InformationCorresponding author. Division of Cardiology, University of California, Irvine Medical Center, Orange, CA 92868-4080, USA. Tel.: +1 714 456 7589; fax: +1 714 456 8895.

Received 18 March 2007; accepted 20 March 2007.

Abstract 

Decision to select unprotected left main (ULM) stenting versus coronary artery bypass grafting surgery (CABG) depends on a multiplicity of factors, one of the most critical of which is myocardial viability. Delayed enhancement cardiac magnetic resonance (CMR) imaging has emerged as a useful means of comprehensively evaluating viable myocardium in postmyocardial infarct patients who require further revascularization. We present a patient with ULM stenosis in whom CMR imaging assisted in the decision to perform percutaneous coronary intervention over CABG.

Keywords: Left main, Stenting, Viability, Cardiac MRI

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PII: S1553-8389(07)00262-X

doi:10.1016/j.carrev.2007.03.172

Cardiovascular Revascularization Medicine
Volume 8, Issue 3 , Pages 209-212, July 2007

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