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Transthoracic Mitral Valve Repair
Question:
"The fourth intercostal space was entered with the lung deflated. There were adhesions from prior radiation that were carefully dissected A longitudinal pericariotomy was performed anterior to the phrenic nerve. A dlp vent was placed through 2 pursestrings in the ascending aorta and a flexible crossclamp applied. Cardioplegia was given antegrade and every 45 to 60 min or when electrical activity occurred(dekl nido0. a left atriotomy was performed to visualize the mitral valve. An atrial retractor was placed for optimal exposure.
The mitral valve was found to be with some restriction of the posterior leaflets and clefts. The clefts were repair with 4-0 and 5-0 prolene sutures and a 28-physio ring was placed with 2-0 Ethibond pledgeted sutures and corknot. The repair looked nice under pressure. Static testing of the valve showed it to be competent. The left atrial appendage was left intact."
Not sure how to report this approach-33418 & 33426/7 do not seem to fit. Which T code or should this be unlisted-33999?
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