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Please read the report below and answer the coding/reimbursement questions that follow. CARDIAC CATHETERIZATION REPORT CENTER CONTRAST MEDIUM: OPTIRAY Pressures Right Atrium 8 BSA 1.93 m2 Right Ventricle 20/4 Heart Rate 74 beats/minute Pulmonary Arteries 20/8 Cardiac Output 3.7 L/min Pulmonary Wedge 8 Cardiac Index 1.9 L/min/m2 Left Ventricle 140/8 Aorta 140/8 DIAGNOSES: Status post orthotopic heart transplantation in 09/03/98. Normal coronary arteries. Minimal intimal hyperplasia in the left anterior descending and left circumflex arteries. Normal left ventricular systolic function and 1-2+ mitral regurgitation. LEFT CORONARY ARTERY: Left Main Trunk: The left main trunk was normal. It bifurcated into the left anterior descending and left circumflex arteries. Left Anterior Descending: The left anterior descending artery was normal. Circumflex: The left circumflex artery was dominant and normal. RIGHT CORONARY ARTERY: The right coronary artery was small, nondominant and free of disease. LEFT VENTRICLE: Left ventriculogram not dictated. Please advise. HEIGHT: 174 cm AGE: 49 years BLOOD PRESSURE: GENDER: Male HEART RATE: 79 154/104 CHIEF COMPLAINTS: The patient currently is here for heart transplant follow-up of 09/03/98. INDICATIONS AND PATENT STATUS: Indication for catheterization is heart transplant follow-up. The patient’s status is elective. MEDICAL HISTORY: There is no other cardiac history. Coronary artery disease risk factors are hypertension. There are no other medical problems. Chest x-ray __________. The patient has no known allergies. BLOOD WORK: ELECTROCARDIOGRAM: Sinus rhythm. CATHETERIZATION TECHNIQUE: The patient’s jugular vein area and the right femoral artery area were prepped and draped in the usual fashion. Local anesthesia was given, and an #8 French short sheath was introduced into the right internal jugular vein. After local anesthesia, a #7 French short sheath was introduced into the right femoral artery. An #8 French Swan-Ganz catheter was introduced through the jugular venous sheath and advanced into the wedge position. Pressures were recorded. Cardiac output was obtained through the thermodilution method. The remainder of the right sided pressures were obtained. Once the right sided catheterization was concluded, the catheter was withdrawn. We then proceeded with the biopsy, utilizing a Fehling bioptome. Four fragments of the right ventricular endocardium were obtained. A #6 French pigtail catheter was introduced through the femoral arterial sheath and advanced through the aorta to the aortic root and introduced into the left ventricular cavity through the aortic valve. Pressures were recorded and the left ventriculogram was performed in the right anterior oblique position. This concluded the procedure with the right coronary angiogram. For this, a #6 French JR4 catheter was introduced and selective engagement into the right coronary ostium and angiogram obtained. The catheter was withdrawn, and a #6 French JL4 guiding catheter was advanced and engaged into the left coronary ostium. Selective angiogram was obtained. We then proceeded with the intravascular ultrasound of both the left circumflex artery and the left anterior descending artery. The procedure was then concluded, the femoral sheath was removed, and an angioseal was placed. We obtained good hemostasis and the patient was transferred to his recovery room in good condition.