Figure 3.

34 year-old female who underwent coronary angiography at an outside facility, which demonstrated occlusion of the left circumflex coronary artery. Transthoracic echocardiography demonstrated moderately reduced global left ventricular ejection fraction of 40%. Cardiac MRI was performed with delayed enhancement utilizing an SSFP sequence, 10 minutes following the administration of 20 ml of Gd-based contrast agent. Short axis view demonstrates an area of subendocardial delayed enhancement in the inferolateral wall (arrow) corresponding to the vascular territory of the left circumflex coronary artery. Finding represents small post-ischemic subendocardial scar.