Figure 1

LGE CMR acquired 3 months after pulmonary vein isolation for paroxysmal atrial fibrillation in a 65 year-old man. Transaxial image (A) and maximum intensity projections (B) show scar on the ostium of each pulmonary vein. Scar burden was 15.3 mL. Multiplanar reformat on the ostium of right superior vein (C) shows circumferential scar with no gap (yellow arrows). Multiplanar reformat on right inferior vein (D) shows a scar gap on superior sector (red arrows). Systematic electrophysiological study performed 3 months after the PVI procedure (and 2 days after CMR) demonstrated no pulmonary vein reconnection.