Background: Xenon has only minimal hemodynamic side effects and induces pharmacologic preconditioning. Thus, the use of xenon could be an interesting option in patients at risk for perioperative myocardial ischemia. However, little is known about the effects of xenon anesthesia on myocardial blood flow (MBF) and coronary vascular resistance in humans. Methods: Myocardial blood flow was noninvasively quantified by H 2 15 O positron emission tomography in six healthy volunteers (age: 38 Ϯ 8 yr). MBF was measured at baseline and during general anesthesia induced with propofol and maintained with xenon, 59 Ϯ 0%. Absolute quantification