Suh William M, Fowler Steven J, Wallis James B, Kern Morton J, Ahsan Chowdhury H
Division of Cardiology, The University of California, Irvine Medical Center, Orange, CA 92868-4080, USA.
Cardiovasc Revasc Med. 2007 Jul-Sep;8(3):209-12. doi: 10.1016/j.carrev.2007.03.172.
Decision to select unprotected left main (ULM) stenting versus coronary artery bypass grafting surgery (CABG) depends on a multiplicity of factors, one of the most critical of which is myocardial viability. Delayed enhancement cardiac magnetic resonance (CMR) imaging has emerged as a useful means of comprehensively evaluating viable myocardium in postmyocardial infarct patients who require further revascularization. We present a patient with ULM stenosis in whom CMR imaging assisted in the decision to perform percutaneous coronary intervention over CABG.
选择非保护左主干（ULM）支架置入术与冠状动脉旁路移植术（CABG）取决于多种因素，其中最关键的因素之一是心肌活力。延迟强化心脏磁共振（CMR）成像已成为一种有用的手段，可全面评估需要进一步血运重建的心肌梗死患者的存活心肌。我们报告一例ULM狭窄患者，CMR成像辅助决定对其进行经皮冠状动脉介入治疗而非CABG。
