Surgeon: Esperanza Martine, MD Asst. Surgeon: Maureen O’Connell, MD Preop

Surgeon: Esperanza Martine, MD Asst. Surgeon: Maureen O’Connell, MD Preop DX: Coronary artery disease Unstable angina pectoris Left carotid artery disease Postop DX: Same Operative Procedure: Cardiac bypass grafting Anesthesiologist: Mitchell Polichek, MD Anesthesia: General INDICATIONS: This is a 61-year-old female who was admitted at another hospital with unstable angina. At that time, the patient underwent cardiac catheterization. There was some anterior apical hypokinesis. The left anterior descending had an 85% proximal narrowing. The right coronary artery had proximal 75% narrowing. Carotid ultrasound, arteriogram revealed very significant, severe disease in the carotids. INTRAOPERATIVE FINDINGS: Cardiac-wise, there were no intrapericardial adhesions. They were normal without palpable plaque. The ventricular function was quite preserved. The left anterior descending measured 2.2 mm in diameter and had excellent brisk flow through the left internal mammary artery. The right coronary artery measured 2.4 mm in diameter and the right internal mammary artery had excellent brisk flow. ICD 10 CM &PCS CODES

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