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FIGURE 4. Superimposed displays of a coronary angiogram and an exercise 3D surface map obtained from a 15-y-old girl with Kawasaki disease. An aneurysmal dilatation with distal stenosis (90% narrowing) was located in the proximal portion of the left anterior descending artery on coronary angiography. MPI showed anteroapical hypoperfusion during exercise. The perfusion abnormality was obviously distributed in the distal territory of the left descending coronary artery (A) and not in the diagonal branch territory (B). Meanwhile, the anterior LAO-60° view (C) and superimposition of the right coronary artery on the septal view of MPI (D) are also available with our technique.