Figure 4

New onset myocardial scarring in two patients post-repair. A LGE images of the two patients who had no evidence of myocardial scarring pre-repair (left), but in whom transmural myocardial infarction (arrows) was detected postoperatively (right). Despite this ischemic insult, recovery of LV dimension and function was sufficient in both cases. B Both patients subsequently underwent selective coronary angiography that revealed unobstructed coronary arteries in one (left, corresponding CMR images at the top), but stenosis at the anastomosis (arrows) site in the other patient (right, corresponding CMR images at the bottom) who subsequently had to undergo re-surgery that confirmed the angiographic findings.