English translation: RPD (right posterior descending coronary artery)
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Gerhard: this abbreviation only appears once in the text. The patient was suffering from numerous kinds of cardiac ailments, AP, NSTEMI, triple vessel disease, anastomosis stenosis, sinus bradycardia, etc. and was subject to the mentioned 5 x ACVB surgery
Christine, I have looked into this - I am not familiar with RIPP, seems to be an ecclectic term of this specific hospital. I have a strong feeling that the RI part is for Ramus interventricularis, and the PP part might stand for posterior P(?).