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Updated: Jul 4, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

Contrast-enhanced magnetic resonance imaging guided decision making after primary percutaneous coronary intervention

Fabiola B Sozzi1, Laura Iacuzio, Filippo Civaia

  • 1Cardiology, IRCCS Policlinico, Milan, Italy. fabiola_sozzi@yahoo.it

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|June 6, 2008
PubMed

Insights

Contrast-enhanced magnetic resonance imaging (CE-MRI) precisely visualizes myocardial infarction, including the no-reflow zone. This technique aids in guiding therapeutic strategies for acute myocardial infarction, as demonstrated in a rare right ventricular infarction case.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Pathophysiology

Background:

  • Coronary occlusion causes myocardial ischemia and necrosis, leading to microvascular obstruction (no-reflow phenomenon) in the infarct core.
  • Contrast-enhanced magnetic resonance imaging (CE-MRI) identifies myocardial infarction as hyperenhanced regions with a hypoenhanced core.

Observation:

  • CE-MRI provides detailed imaging of myocardial perfusion patterns and tissue damage.
  • A rare case of right ventricular infarction was analyzed using CE-MRI.

Findings:

  • CE-MRI accurately depicted the extent of myocardial damage and perfusion abnormalities in the infarct core.
  • The no-reflow phenomenon was visualized, correlating with infarct core characteristics.

Implications:

  • Assessment of the infarct core via CE-MRI is crucial for defining therapeutic strategies in acute myocardial infarction.
  • This case highlights CE-MRI's role in directing interventional therapy and managing complex myocardial infarction presentations.

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