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. 2022 May 31;29(2):20.
doi: 10.5837/bjc.2022.020. eCollection 2022.

Angina pain associated with isolated R-IIP modified Lipton classification coronary artery anomaly

Nicholas Coffey  1 , Alexis Smith  2 , Rich Pham  3 , Mohammed Kazimuddin  4 , Aniruddha Singh  4
Affiliations

Angina pain associated with isolated R-IIP modified Lipton classification coronary artery anomaly

Nicholas Coffey et al. Br J Cardiol. .

Abstract

We report a case of a patient that presented with typical angina pain and associated risk factors for coronary artery disease (CAD). Subsequent cardiac catheterisation led to the discovery of an isolated R-IIP modified Lipton classification coronary artery anomaly with follow-up coronary computed tomography angiography (CCTA) confirmation. This case report includes images of the CCTA and left heart catheterisation results, along with a discussion of the potential for increased risk of atherosclerosis in our patient, and a proposed explanation of his presentation with prototypical angina pain, despite lack of apparent atherosclerosis.

Keywords: cardiac catheterisation; computed tomography (CT) angiograph; congenital heart defect.

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Conflict of interest statement

Conflicts of interest None declared.

Figures

Figure 1.
Figure 1.. Cardiac catheterisation with right coronary artery marked by green outlined star and left coronary artery marked by asterisk symbol
Figure 2.
Figure 2.. Coronary computed tomography angiography (CCTA) with right coronary artery marked by green outlined star and left coronary artery marked by asterisk symbol
See this image and copyright information in PMC

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