PMID- 19671132 OWN - NLM STAT- MEDLINE DCOM- 20091002 LR - 20240117 IS - 1532-429X (Electronic) IS - 1097-6647 (Print) IS - 1097-6647 (Linking) VI - 11 IP - 1 DP - 2009 Aug 11 TI - Visualization of coronary venous anatomy by cardiovascular magnetic resonance. PG - 26 LID - 10.1186/1532-429X-11-26 [doi] AB - BACKGROUND: Coronary venous imaging with whole-heart cardiovascular magnetic resonance (CMR) angiography has recently been described using developmental pulse sequences and intravascular contrast agents. However, the practical utility of coronary venous imaging will be for patients with heart failure in whom cardiac resynchronisation therapy (CRT) is being considered. As such complementary information on ventricular function and myocardial viability will be required. The aim of this study was to determine if the coronary venous anatomy could be depicted as part of a comprehensive CMR protocol and using a standard extracellular contrast agent. METHODS AND RESULTS: Thirty-one 3D whole heart CMR studies, performed after intravenous administration of 0.05 mmol/kg gadolinium DTPA, were reviewed. The cardiac venous system was visualized in all patients. The lateral vein of the left ventricle was present in 74%, the anterior interventricular vein in 65%, and the posterior interventricular vein in 74% of patients. The mean maximum distance of demonstrable cardiac vein on the 3D images was 81.5 mm and was dependent on the quality of the 3D data set. Five patients showed evidence of myocardial infarction on late gadolinium enhancement (LGE) images. CONCLUSION: Coronary venous anatomy can be reliably demonstrated using a comprehensive CMR protocol and a standard extracellular contrast agent. The combination of coronary venous imaging, assessment of ventricular function and LGE may be useful in the management of patients with LV dysfunction being considered for CRT. FAU - Younger, John F AU - Younger JF AD - Academic Unit of Cardiovascular Medicine, University of Leeds, Leeds, UK. John_Younger@health.qld.gov.au FAU - Plein, Sven AU - Plein S FAU - Crean, Andrew AU - Crean A FAU - Ball, Stephen G AU - Ball SG FAU - Greenwood, John P AU - Greenwood JP LA - eng GR - RG/05/004/18607/BHF_/British Heart Foundation/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090811 PL - England TA - J Cardiovasc Magn Reson JT - Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance JID - 9815616 RN - 0 (Contrast Media) RN - K2I13DR72L (Gadolinium DTPA) SB - IM MH - Aged MH - *Cineangiography MH - Contrast Media/administration & dosage MH - Coronary Vessels/*pathology MH - Feasibility Studies MH - Female MH - Gadolinium DTPA/administration & dosage MH - Humans MH - Imaging, Three-Dimensional MH - Injections, Intravenous MH - *Magnetic Resonance Angiography MH - *Magnetic Resonance Imaging, Cine MH - Male MH - Middle Aged MH - Myocardial Ischemia/*pathology/physiopathology MH - Predictive Value of Tests MH - Retrospective Studies MH - Veins/pathology MH - Ventricular Function, Left PMC - PMC2731087 EDAT- 2009/08/13 09:00 MHDA- 2009/10/03 06:00 PMCR- 2009/08/11 CRDT- 2009/08/13 09:00 PHST- 2009/03/11 00:00 [received] PHST- 2009/08/11 00:00 [accepted] PHST- 2009/08/13 09:00 [entrez] PHST- 2009/08/13 09:00 [pubmed] PHST- 2009/10/03 06:00 [medline] PHST- 2009/08/11 00:00 [pmc-release] AID - S1097-6647(23)00507-0 [pii] AID - 1532-429X-11-26 [pii] AID - 10.1186/1532-429X-11-26 [doi] PST - epublish SO - J Cardiovasc Magn Reson. 2009 Aug 11;11(1):26. doi: 10.1186/1532-429X-11-26.