This Article Abstract Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (18) Citing Articles via Google Scholar Google Scholar Articles by Soriano, C. J. Articles by De Velasco, J. A. Search for Related Content PubMed PubMed Citation Articles by Soriano, C. J. Articles by De Velasco, J. A.

Noninvasive diagnosis of coronary artery disease in patients with heart failure and systolic dysfunction of uncertain etiology, using late gadolinium-enhanced cardiovascular magnetic resonance

Carlos J. Soriano, MD^*, Francisco Ridocci, MD, PhD, FESC^*,*, Jordi Estornell, MD, Javier Jimenez, MD^*, Vicente Martinez, MD, PhD and José A. De Velasco, MD, PhD^*

^* Servicio de Cardiología, Consorcio Hospital General Universitario de Valencia
Unidad de TC y RM, ERESA, Valencia, Spain

View larger version (79K): [in a new window]   Figure 1 A patient with three-vessel coronary artery disease and severe left ventricular dysfunction (angio [+] group), with a multisegmentary pattern of subendocardial and transmural late gadolinium enhancement (LGE) suggesting previous myocardial infarction. (A) Long-axis two-chamber view showing a transmural LGE pattern in anterior and apical segments in the left anterior descending coronary artery territory (black arrows), as well as a subendocardial LGE pattern in the basal inferior segment in the right coronary artery territory (white arrow). (B) Short-axis mid-cavity view showing a transmural LGE pattern in mid-anterolateral and inferolateral segments affecting the anterolateral papillary muscle, as well as a subendocardial LGE pattern in mid-inferior segment (white arrows). (C) Short-axis apical view showing a transmural LGE pattern in apical anterior and septal segments (white arrows).

View larger version (71K): [in a new window]   Figure 2 One patient with severe left ventricular dysfunction without coronary artery disease (angio [–] group) and no late gadolinium enhancement (LGE). (A) Long-axis two-chamber view. (B) Long-axis four-chamber view. (C) Short-axis mid-cavity view. Note no LGE in the suppressed myocardium.

View larger version (153K): [in a new window]   Figure 3 Two patients with significant one-vessel disease (angio [+] group) showing coexistence of subendocardial and/or transmural with mid-wall late gadolinium enhancement (LGE) patterns. Patient #1 (A, B, and C) and Patient #2 (D). (A) Long-axis two-chamber view showing one patchy foci of mid-wall LGE distribution enhancement in the basal anterolateral segment (white arrow) coexisting with subendocardial LGE in basal inferior and apical inferior segments and with transmural LGE in the apex segment (black arrows). (B) Short-axis basal view showing patchy foci of mid-wall distribution in the basal anterolateral segment (white arrow) and subendocardial LGE in the basal inferior segment (black arrow). (C) Short-axis apical view showing subendocardial LGE in the apical inferior segment and transmural LGE in apical septal and apical lateral segments (white arrow). (D) Short-axis mid-cavity view of another patient showing longitudinal striae of mid-wall distribution LGE in mid-anteroseptal and mid-inferoseptal segments (white arrows) coexisting with transmural LGE in the mid-inferior segment (black arrow).