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Fig. 3 | Journal of Cardiovascular Magnetic Resonance

Fig. 3

From: Perfusion cardiovascular magnetic resonance and fractional flow reserve in patients with angiographic multi-vessel coronary artery disease

Fig. 3

Case Example of discordance between the FFR value and CMR. Angiographic images and corresponding perfusion images of a patient with 2-vessel disease. The LAD has a distal stenosis (FFR value 0.7) (arrow) with no associated perfusion defect. The RCA has a proximally occluded artery (arrow) resulting in a perfusion defect in the inferior wall visible in all three slices. The combination of a distal lesion and a mildly positive FFR value in the LAD results in no demonstrable ischemia in the anterior wall. (Abbreviations: CMR = cardiovascular magnetic resonance, FFR = fractional flow reserve, LAD = left anterior descending artery, RCA = right coronary artery)

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