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In cardiac resynchronization therapy (CRT), left ventricular (LV) pacing is achieved by positioning the LV lead in one of the tributaries of the coronary sinus (CS). Pre-implantation knowledge of the venous anatomy may help to decide whether transvenous LV lead placement for CRT is feasible. A recent study using navigator-gated whole-heart steady-state free precession coronary artery imaging demonstrates that MR can depict the anatomy of the venous system at 1.5 T [1]. Contrast-enhanced whole-heart coronary magnetic resonance angiography (CMRA) has been used to evaluate coronary artery disease at 3.0 T [2]. The purpose of the work is to assess whether contrast-enhanced wholeheart CMRA can be used to evaluate the coronary venous anatomy as well.

3.0 T contrast-enhanced whole-heart coronary magnetic resonance angiography for the evaluation of the cardiac venous anatomy