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Becky Posted Sat 07th of May, 2016 17:14:27 PM
PREOP DIAGNOSES: Distal arch and the proximal descending pseudoaneurysm, 10 centimeters, status post TAVR x3, left common carotid artery to left subclavian bypass.   POSTOP DIAGNOSES: Same.   How CAN I TELL IF HEAD VESSELS WERE INVOLVED NO MENTION OF REIMPLANT? THANK YOU PROCEDURE: 1. Left thoracotomy. 2. Left subclavian artery cannulation and repair with 80 millimeter graft. 3. Ascending hemiarch and descending replacement with hypothermia circulatory arrest. 4. Left femoral artery and vein exposure cannulation and repair.  
SuperCoder Answered Mon 09th of May, 2016 04:04:35 AM
Thanks for your question. As per provided documentation, the procedures are performed on carotid arteries in the neck region. Common carotid arteries are arteries that supply the oxygenated blood to the head and neck. They divide in the neck region to form the external and internal carotid arteries. So from coding view we can say that head vessels were not involved in this case. Please feel free to write if you have further concern or query. Thanks.

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