Free-breathing coronary MR angiography (CMRA) has shown great potential to visualize coronary stenosis. Three-dimensional (3D) CMRA, however, remains time consuming because a large amount of data is needed to accurately visualize all major coronary arteries. Scan acceleration using compressed sensing (CS) reconstruction has successfully been applied to coronary artery imaging. For high acceleration factors, however, CS-based techniques suffer from residual aliasing artifacts which compromise the diagnostic value of the reconstructed image. We propose a new 3D-patch-based reconstruction that exploits the complex 3D anatomy of the coronary arteries in an effective low-rank framework, which combined with 100% respiratory efficiency enables high-quality isotropic Cartesian CMRA images in ~3 mins.