Figure 2. Viability assessment with cardiac MRI:
Panel A shows LGE acquisition in 4 Chamber plane with a transmural infarction at distal apical septal segment (see arrow).
Panel B shows LGE images in SAX plane with mid inferoseptal and mid inferior subendocardial infarction. Panel C shows
proximal apical septal segments with subendocardial infarction. These findings were consistent with viable RCA and circumflex territories and predominantly viable LAD, with non-viable distal apical septal segment.
Figure 3 – A and B: Successful multivessel PCI with Impella support, PCI of proximal to distal circumflex with two drug-eluting stents, and successful rotational atherectomy of proximal LAD with 2 drug-eluting stents. C-D: Successful CTO PCI in retrograde fashion of the right coronary artery