Coffey Nicholas, Smith Alexis, Pham Rich, Kazimuddin Mohammed, Singh Aniruddha
Medical Student University of Kentucky College of Medicine - Bowling Green Campus, 399 US 31 W Bypass Bowling Green, KY 42101, USA.
Undergraduate Student Western Kentucky University, 1595 Normal Street, Bowling Green, KY 42101, USA.
Br J Cardiol. 2022 May 31;29(2):20. doi: 10.5837/bjc.2022.020. eCollection 2022.
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.
我们报告了一例患者，该患者表现出典型的心绞痛症状以及冠状动脉疾病（CAD）的相关危险因素。随后的心脏导管插入术发现了一种孤立的R-IIP改良利普顿分类冠状动脉异常，并经后续冠状动脉计算机断层扫描血管造影（CCTA）证实。本病例报告包括CCTA图像和左心导管插入术结果，同时讨论了我们的患者发生动脉粥样硬化风险增加的可能性，以及对其出现典型心绞痛症状（尽管缺乏明显动脉粥样硬化）的一种可能解释。
