Utility of cardiac MRI in guiding revascularization therapy in unprotected left main stenosis: a case report.
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.
Suh
William M
WM
Division of Cardiology, The University of California, Irvine Medical Center, Orange, CA 92868-4080, USA.
Fowler
Steven J
SJ
Wallis
James B
JB
Kern
Morton J
MJ
Ahsan
Chowdhury H
CH
D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000150:complications / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology* / Q000473:pathology / Q000601:surgery / Q000628:therapy; D009206:Myocardium / Q000473:pathology*; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D015607:Stents; D014022:Tissue Survival; D016896:Treatment Outcome