;;     Warning: no existing dissection set found
;;     Exported from Tigger version 4.8, at 10:32:38 pm on September 24, 1998
;;    Exported from Tigger version 4.9, at 10:44:30 am on November 4, 1998
;;   Exported from Tigger version 4.9, at 11:57:34 am on April 20, 1999
;;  Exported from Tigger version 4.9, at 11:13:37 am on April 13, 2000
;; Exported from Tigger version 4.9, at 12:41:14 pm on April 13, 2000

RUBRIC "operations on trabeculae carneae cordis"
PARAPHRASE " "
CODE "35"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN surgical deed
	ACTS_ON trabeculae carneae cordis
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "operation on valves and septa of heart"
PARAPHRASE " "
CODE "35"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON heart valve / cardiac septum

RUBRIC "closed heart valvotomy"
PARAPHRASE " "
CODE "35.0"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998"
MAIN dividing
	ACTS_ON heart valve
	HAS_METHOD beating heart

RUBRIC "closed heart valvotomy, unspecified valve "
PARAPHRASE " "
CODE "35.00"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 1:22:27 am on June 26, 1998 by jeremy"
MAIN dividing
	ACTS_ON heart valve
	HAS_METHOD beating heart

RUBRIC "closed heart valvotomy, aortic valve "
PARAPHRASE " "
CODE "35.01"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998"
MAIN dividing
	ACTS_ON aortic valve
	HAS_METHOD beating heart

RUBRIC "closed heart valvotomy, mitral valve "
PARAPHRASE " "
CODE "35.02"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998"
MAIN dividing
	ACTS_ON mitral valve
	HAS_METHOD beating heart

RUBRIC "closed heart valvotomy, pulmonary valve "
PARAPHRASE " "
CODE "35.03"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998"
MAIN dividing
	ACTS_ON pulmonary valve
	HAS_METHOD beating heart

RUBRIC "closed heart valvotomy, tricuspid valve "
PARAPHRASE " "
CODE "35.04"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998"
MAIN dividing
	ACTS_ON tricuspid valve
	HAS_METHOD beating heart

RUBRIC "open heart valvuloplasty without replacement"
PARAPHRASE " "
CODE "35.1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:14 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON heart valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest
WITHOUT_ACTION replacing
	ACTS_ON heart valve

RUBRIC "open heart valvulotomy"
PARAPHRASE " "
CODE "35.1.i1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON heart valve
	BY_TECHNIQUE incising
		ACTS_ON heart valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "open heart valvuloplasty without replacement, unspecified valve"
PARAPHRASE " "
CODE "35.10"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:15 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN repairing
	ACTS_ON heart valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest
WITHOUT_ACTION replacing
	ACTS_ON heart valve

RUBRIC "open heart valvuloplasty of aortic valve without replacement"
PARAPHRASE " "
CODE "35.11"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:21 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN repairing
	ACTS_ON aortic valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest
WITHOUT_ACTION replacing
	ACTS_ON aortic valve

RUBRIC "open heart valvuloplasty of mitral valve without replacement"
PARAPHRASE " "
CODE "35.12"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:17 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON mitral valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest
WITHOUT_ACTION replacing
	ACTS_ON mitral valve

RUBRIC "open heart valvuloplasty of pulmonary valve without replacement"
PARAPHRASE " "
CODE "35.13"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:16 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON pulmonary valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest
WITHOUT_ACTION replacing
	ACTS_ON pulmonary valve

RUBRIC "open heart valvuloplasty of tricuspid valve without replacement"
PARAPHRASE " "
CODE "35.14"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:14 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON tricuspid valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest
WITHOUT_ACTION replacing
	ACTS_ON tricuspid valve

RUBRIC "Repair of tricuspid valve with direct procedure (Kay operation)"
PARAPHRASE " "
CODE "35.14.sm23"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:21 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON tricuspid valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest
	HAS_METHOD kay method
WITHOUT_ACTION replacing
	ACTS_ON tricuspid valve

RUBRIC "replacement of heart valve"
PARAPHRASE " "
CODE "35.2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON heart valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "excision of heart valve with replacement "
PARAPHRASE "[open heart] total replacement of heart valve"
CODE "35.2.i1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON heart valve
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "replacement of unspecified heart valve"
PARAPHRASE " "
CODE "35.20"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON heart valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of unspecified heart valve with tissue graft or prosthetic implant "
PARAPHRASE "repair of unspecified heart valve with insertion of tissue graft, open heart "
CODE "35.20.i1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON heart valve
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "replacement of aortic valve with tissue graft"
PARAPHRASE " "
CODE "35.21"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON aortic valve
	BY_MEANS_OF tissue graft
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of aortic valve with tissue graft"
PARAPHRASE " "
CODE "35.21.sm1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON aortic valve
	BY_MEANS_OF tissue graft
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of aortic valve, autograft"
PARAPHRASE " "
CODE "35.21.sm1.1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON aortic valve
	BY_MEANS_OF tissue graft
		HAS_DONOR patient donor
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of aortic valve, heterograft"
PARAPHRASE " "
CODE "35.21.sm1.2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN replacing
	ACTS_ON aortic valve
	BY_MEANS_OF tissue graft
		HAS_DONOR from animal
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of aortic valve, homograft"
PARAPHRASE " "
CODE "35.21.sm1.3"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON aortic valve
	BY_MEANS_OF tissue graft
		HAS_DONOR human donor
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of aortic leaflet with tissue graft"
PARAPHRASE " "
CODE "35.21.sm2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON aortic leaflet
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of aortic leaflet with autograft"
PARAPHRASE " "
CODE "35.21.sm2.1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN repairing
	ACTS_ON aortic leaflet
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft
			HAS_DONOR patient donor
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of aortic leaflet with heterograft"
PARAPHRASE " "
CODE "35.21.sm2.2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON aortic leaflet
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft
			HAS_DONOR from animal
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of aortic leaflet with homograft"
PARAPHRASE " "
CODE "35.21.sm2.3"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN repairing
	ACTS_ON aortic leaflet
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft
			HAS_DONOR human donor
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "other replacement of aortic valve"
PARAPHRASE " "
CODE "35.22"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON aortic valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of aortic valve NOS"
PARAPHRASE " "
CODE "35.22.sm1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON aortic valve
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of aortic valve with mechanical prosthesis"
PARAPHRASE " "
CODE "35.22.sm2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON aortic valve
	BY_MEANS_OF prosthetic implant
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "replacement of mitral valve with tissue graft"
PARAPHRASE " "
CODE "35.23"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON mitral valve
	BY_MEANS_OF tissue graft
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of mitral valve with tissue graft"
PARAPHRASE " "
CODE "35.23.sm1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN replacing
	ACTS_ON mitral valve
	BY_MEANS_OF tissue graft
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of mitral valve, heterograft"
PARAPHRASE " "
CODE "35.23.sm1.1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON mitral valve
	BY_MEANS_OF tissue graft
		HAS_DONOR from animal
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of mitral valve, homograft"
PARAPHRASE " "
CODE "35.23.sm1.2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON mitral valve
	BY_MEANS_OF tissue graft
		HAS_DONOR human donor
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "other replacement of mitral valve"
PARAPHRASE " "
CODE "35.24"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON mitral valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of mitral valve NOS "
PARAPHRASE " "
CODE "35.24.sm1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON mitral valve
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of mitral valve with mechanical prosthesis "
SOURCE "ICD-9-CM"
CODE "35.24.sm2"
ENGLISH_RUBRIC " "
PARAPHRASE " "
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON mitral valve
	BY_MEANS_OF prosthetic implant
		IS_MADE_OF synthetic material
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of mitral leaflet with tissue graft"
PARAPHRASE " "
CODE "35.24.sm2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON mitral valve leaflet
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of mitral leaflet with autograft"
PARAPHRASE " "
CODE "35.24.sm2.1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN repairing
	ACTS_ON mitral valve leaflet
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft
			HAS_DONOR patient donor
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "replacement of pulmonary valve with tissue graft"
PARAPHRASE " "
CODE "35.25"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN replacing
	ACTS_ON pulmonary valve
	BY_MEANS_OF tissue graft
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of pulmonary valve with tissue graft"
PARAPHRASE " "
CODE "35.25.sm1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON pulmonary valve
	BY_MEANS_OF tissue graft
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of pulmonary valve, heterograft"
PARAPHRASE " "
CODE "35.25.sm1.1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON pulmonary valve
	BY_MEANS_OF tissue graft
		HAS_DONOR from animal
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of pulmonary valve, homograft"
PARAPHRASE " "
CODE "35.25.sm1.2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON pulmonary valve
	BY_MEANS_OF tissue graft
		HAS_DONOR human donor
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of pulmonary leaflet with tissue graft"
PARAPHRASE " "
CODE "35.25.sm2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON pulmonary leaflet
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of pulmonary leaflet with autograft"
PARAPHRASE " "
CODE "35.25.sm2.1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON pulmonary leaflet
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft
			HAS_DONOR patient donor
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of pulmonary leaflet with heterograft"
PARAPHRASE " "
CODE "35.25.sm2.2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON pulmonary leaflet
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft
			HAS_DONOR from animal
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of pulmonary leaflet with homograft"
PARAPHRASE " "
CODE "35.25.sm2.3"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON pulmonary leaflet
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft
			HAS_DONOR human donor
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "other replacement of pulmonary valve"
PARAPHRASE " "
CODE "35.26"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON pulmonary valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of pulmonary valve NOS "
PARAPHRASE " "
CODE "35.26.sm1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN replacing
	ACTS_ON pulmonary valve
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of pulmonary valve with mechanical prosthesis "
PARAPHRASE " "
CODE "35.26.sm2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON pulmonary valve
	BY_MEANS_OF prosthetic implant
		IS_MADE_OF synthetic material
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "replacement of tricuspid valve with tissue graft"
PARAPHRASE " "
CODE "35.27"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON tricuspid valve
	BY_MEANS_OF tissue graft
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of tricuspid valve with tissue graft"
PARAPHRASE " "
CODE "35.27.sm1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON tricuspid valve
	BY_MEANS_OF tissue graft
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of tricuspid valve, heterograft"
PARAPHRASE " "
CODE "35.27.sm1.1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - donor to HAS_DONOR - applied at 12:52:27 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON tricuspid valve
	BY_MEANS_OF tissue graft
		HAS_DONOR from animal
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "other replacement of tricuspid valve"
PARAPHRASE " "
CODE "35.28"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON tricuspid valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of tricuspid valve NOS "
PARAPHRASE " "
CODE "35.28.sm1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN replacing
	ACTS_ON tricuspid valve
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "total replacement of tricuspid valve with mechanical prosthesis "
PARAPHRASE " "
CODE "35.28.sm2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN replacing
	ACTS_ON tricuspid valve
	BY_MEANS_OF prosthetic implant
		IS_MADE_OF synthetic material
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "operations on structures adjacent to heart valves"
PARAPHRASE " "
CODE "35.3"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN surgical deed
	ACTS_ON structure adjacent to heart valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "operations on papillary muscle"
PARAPHRASE " "
CODE "35.31"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN surgical deed
	ACTS_ON papillary muscle
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "dividing of papillary muscle"
PARAPHRASE " "
CODE "35.31.i1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN dividing
	ACTS_ON papillary muscle
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "reattachment of papillary muscle"
PARAPHRASE " "
CODE "35.31.i2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON papillary muscle
	BY_TECHNIQUE fixing
		ACTS_ON papillary muscle
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of papillary muscle"
PARAPHRASE " "
CODE "35.31.i3"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON papillary muscle
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "operations on chordae tendinae"
PARAPHRASE " "
CODE "35.32"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN surgical deed
	ACTS_ON chordae tendinae
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "dividing of chordae tendinae"
PARAPHRASE " "
CODE "35.32.i1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN dividing
	ACTS_ON chordae tendinae
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of chordae tendinae"
PARAPHRASE " "
CODE "35.32.i2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN repairing
	ACTS_ON chordae tendinae
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "annuloplasty"
PARAPHRASE " "
CODE "35.33"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN repairing
	ACTS_ON fibrous ring
		IS_PART_OF heart valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "plication of anulus"
PARAPHRASE " "
CODE "35.33.i1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN repairing
	ACTS_ON fibrous ring
		IS_PART_OF heart valve
	BY_TECHNIQUE plicating
		ACTS_ON fibrous ring
			IS_PART_OF heart valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "intervention of De Vega"
PARAPHRASE " "
CODE "35.33.s1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN repairing
	ACTS_ON fibrous ring
		IS_PART_OF heart valve
	BY_TECHNIQUE plicating
		ACTS_ON fibrous ring
			IS_PART_OF heart valve
		HAS_METHOD DeVega
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "infundibulectomy"
PARAPHRASE " "
CODE "35.34"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN removing
	ACTS_ON infundibulum
		IS_PART_OF right ventricle
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "right ventricular infundibulectomy"
PARAPHRASE " "
CODE "35.34.i1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN removing
	ACTS_ON infundibulum
		IS_PART_OF right ventricle
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "operations on other structures adjacent to valves of heart"
PARAPHRASE " "
CODE "35.39"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN surgical deed
	ACTS_ON structure adjacent to heart valve
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "repair of sinus of Valsalva, aneurysm"
SOURCE "ICD-9-CM"
CODE "35.39.i1"
ENGLISH_RUBRIC " "
PARAPHRASE " "
MAIN repairing
	ACTS_ON sinus of valsalva
	MOTIVATED_BY management of aneurysm

RUBRIC "repair of atrial and ventricular septa with prosthesis"
PARAPHRASE " "
CODE "35.5"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN repairing
	ACTS_ON pathological hole
		HAS_LOCATION atrial septum / ventricular heart septum
	BY_TECHNIQUE inserting
		ACTS_ON prosthetic implant

RUBRIC "repair of atrial and ventricular septa with tissue graft"
PARAPHRASE " "
CODE "35.6"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN repairing
	ACTS_ON pathological hole
		HAS_LOCATION atrial septum / ventricular heart septum
	BY_TECHNIQUE inserting
		ACTS_ON tissue graft

RUBRIC "other and unspecified repair of atrial and ventricular septa"
PARAPHRASE "repair of atrial and ventricular septa"
CODE "35.7"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN repairing
	ACTS_ON atrial septum / ventricular heart septum

RUBRIC "interatrial transposition of venous return"
PARAPHRASE "bypass between left atrium and right atrium to modify flow of venous blood"
CODE "35.9"
COMMENT "Way, pag.355"
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 left atrium
		CONNECTS_2 right atrium
TO_ACHIEVE_OVERALL modifying
	ACTS_ON flow
		ACTS_ON venous blood

RUBRIC "other operations on valves and septa of heart"
PARAPHRASE " "
CODE "35.9"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON heart valve / cardiac septum

RUBRIC "Baffle"
SOURCE "ICD-9-CM"
CODE "35.91.i1"
PARAPHRASE "bypass between left atrium and right atrium to modify the flow of venous blood by means of baffle"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 left atrium
		CONNECTS_2 right atrium
	BY_MEANS_OF baffle
TO_ACHIEVE_OVERALL modifying
	ACTS_ON flow
		ACTS_ON venous blood

RUBRIC "Baffle, interatrial"
SOURCE "ICD-9-CM"
CODE "35.91.i1.1"
PARAPHRASE " bypass between left atrium and right atrium to modify the flow of venous blood by means of baffle in atrial septum"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 left atrium
		CONNECTS_2 right atrium
	BY_TECHNIQUE inserting
		ACTS_ON baffle
			HAS_DESTINATION atrial septum
TO_ACHIEVE_OVERALL modifying
	ACTS_ON flow
		ACTS_ON venous blood

RUBRIC "Mustard's operation"
PARAPHRASE "resection of atrial septum and insertion of patch using Mustard's method [to direct systemic venous return to tricuspid valve and pulmonary venous return to mitral valve]"
CODE "35.91.i2"
COMMENT "DEFINITION (Wiley): In congenital heart disease, a surgical procedure designed as a definitive repairing for a complete transposition of the great arteries. The native atrial septum is excised and the atrium is partiti1d with a baffle to redirect bloo"
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998"
MAIN excising
	ACTS_ON atrial septum
	HAS_METHOD Mustard
WITH inserting
	ACTS_ON patch
		HAS_DESTINATION atrial septum
	HAS_METHOD Mustard
TO_ACHIEVE_OVERALL modifying
	ACTS_ON flow
		ACTS_ON venous blood

RUBRIC "creation of conduit between right ventricle and pulmonary artery"
PARAPHRASE "creating a conduit between right ventricle and pulmonary artery"
CODE "35.92"
COMMENT "we use <conduit> in the paraphrase, but the descriptor will be <bypass structure>; is conduit a real synonim ?"
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 right ventricle
		CONNECTS_2 pulmonary artery

RUBRIC "creation of shunt between right ventricle and distal pulmonary artery"
PARAPHRASE "creating a shunt between right ventricle and distal pulmonary artery"
CODE "35.92.i1"
COMMENT "we use <shunt> in the paraphrase, but the descriptor will be <bypass structure>; is shunt a real synonim ?"
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 right ventricle
		CONNECTS_2 part
			IS_PART_OF pulmonary artery
			HAS_POSITION distal

RUBRIC "creation of conduit between left ventricle and aorta"
PARAPHRASE "creating a conduit between left ventricle and aorta"
CODE "35.93"
COMMENT "le inclusioni sono esatti sinonimi"
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 left ventricle
		CONNECTS_2 aorta

RUBRIC "creation of apicoaortic shunt"
PARAPHRASE "creating a shunt between apex of left ventricle and aorta"
CODE "35.93.i1"
COMMENT "sinonimo di '35.93'"
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 apex
			IS_PART_OF left ventricle
		CONNECTS_2 aorta

RUBRIC "shunt between apex of left ventricle and aorta"
PARAPHRASE "shunt between apex of left ventricle and aorta"
CODE "35.93.i2"
COMMENT "sinonimo di '35.93'"
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 apex
			IS_PART_OF left ventricle
		CONNECTS_2 aorta

RUBRIC "creation of conduit between atrium and pulmonary artery"
SOURCE "ICD-9-CM"
CODE "35.94"
PARAPHRASE "creation of conduit between right atrium and pulmonary artery"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 right atrium
		CONNECTS_2 pulmonary artery

RUBRIC "fontan procedure"
PARAPHRASE "bypass between right atrium and pulmonary artery using Fontan's method"
CODE "35.94.i1"
COMMENT "definition (Wiley): A surgical procedure designed to treat tricuspid valve atresia, in wich right atrial blood is shunted through a valved conduit to the pulmonary artery. ARM quindi non si crea un condotto, ma si installa un tubo con valvola"
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 right atrium
		CONNECTS_2 pulmonary artery
	HAS_METHOD Fontan

RUBRIC "replacement of prosthetic heart valve poppet"
PARAPHRASE "(revision of a corrective procedure consisting of) replacing a prosthetic heart valve poppet; "
CODE "35.95.i1"
COMMENT "obsoleto il tipo di valvola;  PROBLEM: 'heart valve' non pu essere la location perch la valvola nuova si mette al posto della vecchia"
SOURCE "ICD-9-CM"
MAIN replacing
	ACTS_ON poppet
		IS_PART_OF prosthetic valve
			HAS_LOCATION heart valve
	MOTIVATED_BY revising
		ACTS_ON repairing
			ACTS_ON heart

RUBRIC "resuture of prosthesis of septum"
PARAPHRASE "(revision of a corrective procedure consisting of) suture of prosthesis of septum"
CODE "35.95.i2.1"
COMMENT "PROBLEM: <resuturing> should be <redoing a suture>"
SOURCE "ICD-9-CM"
MAIN suturing
	ACTS_ON prosthetic implant
		HAS_LOCATION cardiac septum
	MOTIVATED_BY revising
		ACTS_ON repairing
			ACTS_ON heart

RUBRIC "resuture of prosthesis of valve"
SOURCE "ICD-9-CM"
CODE "35.95.i2.2"
PARAPHRASE "(revision of a corrective procedure consisting of) resuture of prosthesis of heart valve"
MAIN suturing
	ACTS_ON prosthetic valve
		HAS_LOCATION heart valve
	MOTIVATED_BY revising
		ACTS_ON repairing
			ACTS_ON heart

RUBRIC "revision of corrective procedure on heart"
PARAPHRASE "corrective procedure "
CODE "35.95/1"
COMMENT "abstraction; a <corrective procedure> should include <repair>, <replace>, <insert>"
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON heart
	MOTIVATED_BY curing
		ACTS_ON lesion (as structure)

RUBRIC "revision of corrective procedure on heart"
PARAPHRASE "revision of a corrective procedure on heart"
CODE "35.95/2"
COMMENT "revision should be represented as 'redoing partially an enactment'; it does not tell us which procedure is being performed "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON heart
	MOTIVATED_BY revising
		ACTS_ON repairing
			ACTS_ON heart

RUBRIC "percutaneous valvuloplasty"
SOURCE "ICD-9-CM"
CODE "35.96/1"
PARAPHRASE "plasty on heart valve by percutaneous approach ((and transluminal route))"
MAIN plastic repairing
	HAS_ROUTE transluminal route
	ACTS_ON heart valve
	HAS_APPROACH percutaneous route

RUBRIC "percutaneous valvuloplasty"
SOURCE "ICD-9-CM"
CODE "35.96/2"
PARAPHRASE "dilatation by balloon catheter on heart valve by percutaneous approach ((and transluminal route))"
MAIN dilatating
	HAS_ROUTE transluminal route
	ACTS_ON heart valve
	BY_MEANS_OF balloon catheter
	HAS_APPROACH percutaneous route

RUBRIC "other operations on septa of heart"
SOURCE "ICD-9-CM"
CODE "35.98"
PARAPHRASE "surgical deed on heart septum"
MAIN OTHER surgical deed
	ACTS_ON cardiac septum

RUBRIC "other operations on valve of heart"
SOURCE "ICD-9-CM"
CODE "35.99"
PARAPHRASE "surgical deed on heart valve"
MAIN OTHER surgical deed
	ACTS_ON heart valve

RUBRIC "dividing of trabeculae carneae cordis"
PARAPHRASE " "
CODE "35.i1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN dividing
	ACTS_ON trabeculae carneae cordis
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "sternotomy as operative approach"
PARAPHRASE "unspecified procedure with sternotomy as approach"
CODE "35.i1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN dividing
	ACTS_ON sternum
TO_ACHIEVE_OVERALL surgical approach

RUBRIC "median sternotomy as operative approach"
PARAPHRASE " "
CODE "35.i1.1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 1:20:48 am on June 26, 1998 by jeremy
Manual accept at 7:48:10 pm on July 2, 1998 by jeremy"
MAIN dividing
	ACTS_ON sternum
	HAS_APPROACH median line
TO_ACHIEVE_OVERALL surgical approach

RUBRIC "transverse sternotomy as operative approach"
PARAPHRASE " "
CODE "35.i1.2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 1:20:39 am on June 26, 1998 by jeremy
Manual accept at 7:48:16 pm on July 2, 1998 by jeremy"
MAIN dividing
	ACTS_ON sternum
	HAS_APPROACH transverse line
TO_ACHIEVE_OVERALL surgical approach

RUBRIC "sternotomy as operative approach"
PARAPHRASE "unspecified procedure with sternotomy as approach to open thorax"
CODE "35.i1a"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN opening
	ACTS_ON thorax
	BY_TECHNIQUE dividing
		ACTS_ON sternum
TO_ACHIEVE_OVERALL surgical approach

RUBRIC "thoracotomy as operative approach"
PARAPHRASE " "
CODE "35.i2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN opening
	ACTS_ON thorax
TO_ACHIEVE_OVERALL surgical approach

RUBRIC "excision of trabeculae carneae cordis"
PARAPHRASE " "
CODE "35.i2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:07 pm on July 2, 1998"
MAIN removing
	ACTS_ON trabeculae carneae cordis
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "excision of aortic subvalvular ring"
PARAPHRASE " "
CODE "35.i3"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - expanding descriptor: induced arrest of heart - applied at 3:35:08 pm on July 2, 1998"
MAIN removing
	ACTS_ON fibrous ring
		IS_PART_OF aortic valve
	HAS_EXTENT total
	BY_TECHNIQUE inducing
		ACTS_ON cardiac arrest

RUBRIC "operations on vessels of heart"
PARAPHRASE "medical deed on blood vessel which is serving heart"
CODE "36"
COMMENT "Monti dice che qui non si pu parlare di surgical deed perch sotto sono anche azioni di tipo medico; per ora parliamo di 'medical deed'"
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON blood vessel
		SERVES heart
MOTIVATED_OVERALL_BY treatment
	ACTS_ON heart

RUBRIC "removal of coronary artery obstruction"
PARAPHRASE "medical deed on coronary artery to treat an obstructive process "
CODE "36.0"
COMMENT "MODEL: coronary artery  should be modelled a (coronary artery is blood vessel which necessary serving heart); "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 12:27:45 am on June 27, 1998 by jeremy"
MAIN surgical deed
	ACTS_ON coronary artery
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery

RUBRIC "removal of coronary artery obstruction, not otherwise specified"
SOURCE "ICD-9-CM"
PARAPHRASE "medical deed on coronary artery to treat an obstructive process"
CODE "36.00"
CODING_METACOMMENT "not otherwise specified"
HISTORY "
Manual accept at 12:27:52 am on June 27, 1998 by jeremy"
MAIN surgical deed
	ACTS_ON coronary artery
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery

RUBRIC "transluminal coronary angioplasty"
PARAPHRASE "((percutaneous)) transluminal plasty of a coronary artery  to remove obstruction"
CODE "36.00rm1.1/1"
COMMENT "quasi-synonym of the previous 1, named: PTCA"
SOURCE "ICD-9-CM"
MAIN plastic repairing
	HAS_ROUTE transluminal route
	ACTS_ON coronary artery
	HAS_APPROACH NON-ANALYTICALLY percutaneous route
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction process
		ACTS_ON coronary artery

RUBRIC "transluminal coronary angioplasty"
PARAPHRASE "((percutaneous)) transluminal dilatation of a coronary artery by balloon catheter  to remove obstruction"
CODE "36.00rm1.1/2"
COMMENT "synonym of the last paraphrase of 30.00rm1, named: PTCA"
SOURCE "ICD-9-CM"
MAIN dilatating
	HAS_ROUTE transluminal route
	ACTS_ON coronary artery
	BY_MEANS_OF NON-ANALYTICALLY balloon catheter
	HAS_APPROACH NON-ANALYTICALLY percutaneous route
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction process
		ACTS_ON coronary artery

RUBRIC "percutaneous transluminal angioplasty"
PARAPHRASE "percutaneous transluminal angioplasty "
CODE "36.00rm1/1"
COMMENT "abstraction;  un intervento che si pu effettuare anche sulla femorale"
SOURCE "ICD-9-CM"
MAIN plastic repairing
	HAS_ROUTE transluminal route
	ACTS_ON blood vessel
	HAS_APPROACH percutaneous route

RUBRIC "percutaneous transluminal angioplasty"
PARAPHRASE "percutaneous transluminal dilatation of a blood vessel by balloon catheter"
CODE "36.00rm1/2"
COMMENT "abstraction; Dorland: dilatation of a blood vessel BY_MEANS_OF a balloon catheter inserted through the skin and through the lumen of the vessel to the site of the narrowing, where the balloon is inflated to flatten plaque against the artery wall."
SOURCE "ICD-9-CM"
MAIN dilatating
	HAS_ROUTE transluminal route
	ACTS_ON blood vessel
	BY_MEANS_OF NON-ANALYTICALLY balloon catheter
	HAS_APPROACH percutaneous route

RUBRIC "percutaneous transluminal angioplasty"
PARAPHRASE "percutaneous transluminal dilatation of a coronary artery  to remove obstruction"
CODE "36.00rm1/3"
COMMENT "child of 36.00, ie. we made <coronary artery> explicit; it is literal but not sufficient; see below"
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 12:27:39 am on June 27, 1998 by jeremy"
MAIN dilatating
	HAS_ROUTE transluminal route
	ACTS_ON coronary artery
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery

RUBRIC "percutaneous transluminal angioplasty"
PARAPHRASE "percutaneous transluminal dilatation of a coronary artery by balloon catheter  to remove obstruction"
CODE "36.00rm1/4"
COMMENT "child of 36.00, ie. we made <coronary artery> explicit; named: PTCA; interpretation non-analytical, but according to Dorland"
SOURCE "ICD-9-CM"
MAIN dilatating
	HAS_ROUTE transluminal route
	ACTS_ON coronary artery
	BY_MEANS_OF NON-ANALYTICALLY balloon catheter
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction process
		ACTS_ON coronary artery

RUBRIC "single vessel percutaneous transluminal coronary angioplasty [PTCA] without mention of thrombolytic agent"
SOURCE "ICD-9-CM"
CODE "36.01/1"
PARAPHRASE "percutaneous transluminal angioplasty on single coronary artery to treat an obstructive process "
HISTORY "
Manual accept at 12:28:17 am on June 27, 1998 by jeremy"
MAIN plastic repairing
	HAS_ROUTE transluminal route
	ACTS_ON coronary artery
		HAS_NUMBER 1
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery

RUBRIC "single vessel percutaneous transluminal coronary angioplasty [PTCA] without mention of thrombolytic agent"
SOURCE "ICD-9-CM"
CODE "36.01/2"
PARAPHRASE "percutaneous transluminal dilatation of a single coronary artery by balloon catheter to treat an obstructive process "
HISTORY "
Manual accept at 12:28:22 am on June 27, 1998 by jeremy"
MAIN dilatating
	HAS_ROUTE transluminal route
	ACTS_ON coronary artery
		HAS_NUMBER 1
	BY_MEANS_OF balloon catheter
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery

RUBRIC "single vessel percutaneous transluminal coronary angioplasty [PTCA] with thrombolytic agent"
SOURCE "ICD-9-CM"
CODE "36.02/1"
PARAPHRASE "percutaneous transluminal angioplasty on coronary artery to treat an obstructive process using thrombolytic agent"
HISTORY "
Manual accept at 12:28:03 am on June 27, 1998 by jeremy
Manual accept at 4:06:25 pm on August 28, 1998 by jon"
MAIN plastic repairing
	HAS_ROUTE transluminal route
	ACTS_ON coronary artery
		HAS_NUMBER 1
	HAS_APPROACH percutaneous route
WITH infusing
	ACTS_ON thrombolytic agent
		HAS_DESTINATION coronary artery
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery
	BY_MEANS_OF lysing
		ACTS_ON thrombus

RUBRIC "single vessel percutaneous transluminal coronary angioplasty [PTCA] with thrombolytic agent"
SOURCE "ICD-9-CM"
CODE "36.02/2"
PARAPHRASE "percutaneous transluminal dilatation of a single coronary artery by balloon catheter to treat an obstructive process using thrombolytic agent"
HISTORY "
Manual accept at 12:28:08 am on June 27, 1998 by jeremy
Manual accept at 4:06:43 pm on August 28, 1998 by jon"
MAIN dilatating
	HAS_ROUTE transluminal route
	ACTS_ON coronary artery
		HAS_NUMBER 1
	BY_MEANS_OF balloon catheter
	HAS_APPROACH percutaneous route
WITH infusing
	ACTS_ON thrombolytic agent
		HAS_DESTINATION coronary artery
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery
	BY_MEANS_OF lysing
		ACTS_ON thrombus

RUBRIC "open chest coronary artery angioplasty"
SOURCE "ICD-9-CM"
CODE "36.03"
PARAPHRASE "angioplasty on coronary artery which has approach open chest, to treat obstructive process "
HISTORY "
Manual accept at 12:27:28 am on June 27, 1998 by jeremy"
MAIN plastic repairing
	ACTS_ON coronary artery
	HAS_APPROACH open chest
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery

RUBRIC "intracoronary artery thrombolytic infusion"
PARAPHRASE "infusion of thrombolitic agent to achieve lysis of thrombus which has location coronary artery"
CODE "36.04/1"
COMMENT "non tratta il processo cronico (stenosi) ma solo la trombosi recente"
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 12:27:11 am on June 27, 1998 by jeremy
Manual accept at 4:06:06 pm on August 28, 1998 by jon"
MAIN infusing
	ACTS_ON thrombolytic agent
		HAS_DESTINATION coronary artery
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery
	BY_MEANS_OF lysing
		ACTS_ON thrombus

RUBRIC "intracoronary artery thrombolytic infusion"
PARAPHRASE "((percutaneous transluminal)) infusion of thrombolitic agent ((by catheter)) to achieve lysis of thrombus which has location coronary artery"
CODE "36.04/2"
COMMENT "acts on (x has destination bp) 	sub of 	acts on bp "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 12:27:04 am on June 27, 1998 by jeremy
Manual accept at 4:03:36 pm on August 28, 1998 by jon
Manual accept at 4:04:09 pm on August 28, 1998 by jon
Manual accept at 4:05:16 pm on August 28, 1998 by jon
Manual accept at 4:05:49 pm on August 28, 1998 by jon"
MAIN infusing
	HAS_ROUTE transluminal route
	ACTS_ON thrombolytic agent
		HAS_DESTINATION coronary artery
	BY_MEANS_OF catheter
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery
	BY_MEANS_OF lysing
		ACTS_ON thrombus

RUBRIC "multiple vessel percutaneous transluminal coronary angioplasty [PTCA] performed during single operative episode"
SOURCE "ICD-9-CM"
CODE "36.05/1"
COMMENT "multiple should be attached to enactment in a single operative episode "
PARAPHRASE "multiple angioplasty on coronary artery which has approach percutaneous and has route transluminal to treat an obstructive process "
HISTORY "
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 12:59:50 am on June 26, 1998
Manual accept at 12:27:17 am on June 27, 1998 by jeremy"
MAIN plastic repairing
	HAS_NUMBER several
	HAS_ROUTE transluminal route
	ACTS_ON coronary artery
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery

RUBRIC "multiple vessel percutaneous transluminal coronary angioplasty [PTCA] performed during single operative episode"
SOURCE "ICD-9-CM"
CODE "36.05/2"
PARAPHRASE "transluminal dilatation of multiple coronary arteries by balloon catheter which has approach percutaneous which has route transluminal route to treat an obstructive process using thrombolytic agent"
HISTORY "
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 12:59:50 am on June 26, 1998
Manual accept at 12:27:23 am on June 27, 1998 by jeremy"
MAIN dilatating
	HAS_ROUTE transluminal route
	ACTS_ON coronary artery
		HAS_NUMBER several
	BY_MEANS_OF balloon catheter
	HAS_APPROACH percutaneous route
WITH infusing
	ACTS_ON thrombolytic agent
		HAS_DESTINATION coronary artery
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery

RUBRIC "other specified removal of coronary artery obstruction"
SOURCE "ICD-9-CM"
CODE "36.09"
PARAPHRASE "other medical deed on coronary artery to treat an obstructive process "
HISTORY "
Manual accept at 12:27:34 am on June 27, 1998 by jeremy"
MAIN OTHER surgical deed
	ACTS_ON coronary artery
MOTIVATED_OVERALL_BY treatment
	ACTS_ON obstruction
		HAS_LOCATION coronary artery

RUBRIC "bypass anastomosis for heart revascularization"
PARAPHRASE "bypass between blood vessels to obtain revascularization of heart"
CODE "36.1"
COMMENT "bypass is wrong (only for free graft, not for mammary artery insertion)"
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 blood vessel
		CONNECTS_2 blood vessel
TO_ACHIEVE_OVERALL revascularisation
	ACTS_ON heart

RUBRIC "Aortocoronary bypass for heart revascularization, not otherwise specified"
SOURCE "ICD-9-CM"
PARAPHRASE "bypass between aorta and coronary artery to obtain revascularization of heart"
CODE "36.10"
CODING_METACOMMENT "not otherwise specified"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 aorta
		CONNECTS_2 coronary artery
TO_ACHIEVE_OVERALL revascularisation
	ACTS_ON heart

RUBRIC "Aortocoronary bypass of 1 coronary artery"
SOURCE "ICD-9-CM"
CODE "36.11"
PARAPHRASE "1 bypass between aorta and coronary artery to obtain revascularization of heart"
HISTORY "
Manual accept at 10:13:07 am on March 12, 1998"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 aorta
		CONNECTS_2 coronary artery
		HAS_NUMBER 1
TO_ACHIEVE_OVERALL revascularisation
	ACTS_ON heart

RUBRIC "Aortocoronary bypass of 2 coronary arteries"
SOURCE "ICD-9-CM"
CODE "36.12"
PARAPHRASE "2 bypasses between aorta and coronary arteries to obtain revascularization of heart"
MAIN creating
	ACTS_ON bypass structure
		HAS_NUMBER 2
		CONNECTS_1 aorta
		CONNECTS_2 coronary artery
TO_ACHIEVE_OVERALL revascularisation
	ACTS_ON heart

RUBRIC "Aortocoronary bypass of three coronary arteries"
SOURCE "ICD-9-CM"
CODE "36.13"
PARAPHRASE "three bypasses between aorta and coronary arteries to obtain revascularization of heart"
MAIN creating
	ACTS_ON bypass structure
		HAS_NUMBER 3
		CONNECTS_1 aorta
		CONNECTS_2 coronary artery
TO_ACHIEVE_OVERALL revascularisation
	ACTS_ON heart

RUBRIC "Aortocoronary bypass of four coronary arteries"
SOURCE "ICD-9-CM"
CODE "36.14"
PARAPHRASE "four or more bypasses between aorta and coronary arteries to obtain revascularization of heart"
MAIN creating
	ACTS_ON bypass structure
		HAS_NUMBER 4
		CONNECTS_1 aorta
		CONNECTS_2 coronary artery
TO_ACHIEVE_OVERALL revascularisation
	ACTS_ON heart

RUBRIC "single internal mammary - coronary artery bypass"
PARAPHRASE "1 inserting internal mammary artery on coronary artery to obtain revascularization of heart"
CODE "36.15"
COMMENT "non  un bypass in senso proprio"
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		HAS_NUMBER 1
		CONNECTS_1 coronary artery
		CONNECTS_2 internal mammary artery
	BY_TECHNIQUE inserting
		ACTS_ON internal mammary artery
			HAS_DESTINATION coronary artery
TO_ACHIEVE_OVERALL revascularisation
	ACTS_ON heart

RUBRIC "double internal mammary - coronary artery bypass"
PARAPHRASE "2 inserting internal mammary artery on coronary artery to obtain revascularization of heart"
CODE "36.16"
COMMENT "in '36.15', '36.16' la connessi1 tra le due arterie  diretta"
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		HAS_NUMBER 2
		CONNECTS_1 coronary artery
		CONNECTS_2 internal mammary artery
	BY_TECHNIQUE inserting
		ACTS_ON internal mammary artery
			HAS_DESTINATION coronary artery
TO_ACHIEVE_OVERALL revascularisation
	ACTS_ON heart

RUBRIC "other bypass anastomosis for heart revascularization"
SOURCE "ICD-9-CM"
CODE "36.19"
PARAPHRASE "bypass between blood vessels to obtain revascularization of heart"
MAIN OTHER creating
	ACTS_ON bypass structure
		CONNECTS_1 blood vessel
		CONNECTS_2 blood vessel
TO_ACHIEVE_OVERALL revascularisation
	ACTS_ON heart

RUBRIC "heart revascularization by arterial implant"
PARAPHRASE "arterial implant to obtain revascularization of heart"
CODE "36.2"
COMMENT "interventi desueti "
SOURCE "ICD-9-CM"
MAIN inserting
	ACTS_ON blood vessel
		HAS_DESTINATION heart
TO_ACHIEVE_OVERALL revascularisation
	ACTS_ON heart

RUBRIC "other heart revascularization"
PARAPHRASE "surgical deed to obtain revascularization of heart"
CODE "36.3"
COMMENT "non proprio rivascolarizzazioni ma procedure che migliorano la performance contrattile del ventricolo sinistro "
SOURCE "ICD-9-CM"
MAIN OTHER surgical deed
	ACTS_ON heart
TO_ACHIEVE_OVERALL revascularisation
	ACTS_ON heart

RUBRIC "other operations on vessels of heart"
PARAPHRASE "surgical deed on blood vessel serving heart"
CODE "36.9"
COMMENT "uguale a '36' "
SOURCE "ICD-9-CM"
MAIN OTHER surgical deed
	ACTS_ON blood vessel
		SERVES heart

RUBRIC "repair of aneurysm of coronary vessel"
SOURCE "ICD-9-CM"
CODE "36.91"
PARAPHRASE "repair of aneurysm of coronary vessel"
MAIN repairing
	ACTS_ON aneurysm
		HAS_LOCATION coronary artery

RUBRIC "other operations on vessels of heart"
PARAPHRASE "surgical deed on blood vessel serving heart"
CODE "36.99/1"
COMMENT "uguale a '36' "
SOURCE "ICD-9-CM"
MAIN OTHER surgical deed
	ACTS_ON blood vessel
		SERVES heart

RUBRIC "other operations on vessels of heart"
SOURCE "ICD-9-CM"
CODE "36.99/2"
PARAPHRASE "surgical deed on coronary artery"
MAIN OTHER surgical deed
	ACTS_ON coronary artery

RUBRIC "pericardiocentesis "
SOURCE "ICD-9-CM"
CODE "37.0"
PARAPHRASE "aspiration of fluid ((from pericardial cavity )) with puncture of the pericardium ((percutaneous approach))"
MAIN aspirating
	ACTS_ON fluid
		HAS_LOCATION pericardial cavity
	HAS_APPROACH percutaneous route
	BY_TECHNIQUE puncturing
		ACTS_ON pericardium

RUBRIC "cardiotomy and pericardiotomy"
SOURCE "ICD-9-CM"
CODE "37.1/1"
PARAPHRASE "surgical incision of the heart "
MAIN incising
	ACTS_ON heart

RUBRIC "cardiotomy and pericardiotomy"
SOURCE "ICD-9-CM"
CODE "37.1/2"
PARAPHRASE "surgical incision of the pericardium "
MAIN incising
	ACTS_ON pericardium

RUBRIC "incision of the heart, not otherwise specified"
SOURCE "ICD-9-CM"
PARAPHRASE "surgical incision of the heart"
CODE "37.10"
CODING_METACOMMENT "not otherwise specified"
MAIN incising
	ACTS_ON heart

RUBRIC "cardiotomy"
SOURCE "ICD-9-CM"
CODE "37.11"
PARAPHRASE "surgical incision of the heart "
MAIN incising
	ACTS_ON heart

RUBRIC "pericardiotomy"
SOURCE "ICD-9-CM"
CODE "37.12"
PARAPHRASE "surgical incision of the pericardium "
MAIN incising
	ACTS_ON pericardium

RUBRIC "diagnostic procedures on heart and pericardium"
PARAPHRASE "medical deed acts on heart motivated by diagnosis"
CODE "37.2/1"
COMMENT "i figli di '37.2' devono tutti ereditare che  per diagnosi"
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON heart
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "diagnostic procedures on heart and pericardium"
SOURCE "ICD-9-CM"
CODE "37.2/2"
PARAPHRASE "medical deed acts on pericardium motivated by diagnosis"
MAIN surgical deed
	ACTS_ON pericardium
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "right heart cardiac catheterization"
PARAPHRASE "((percutaneous transluminal)) catheterization of right heart motivated by diagnosis"
CODE "37.21"
COMMENT "necessary:    catheterizing shall be <BY_MEANS_OF catheter>"
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 2:46:56 pm on June 26, 1998 by jeremy"
MAIN inserting
	ACTS_ON catheter
		HAS_DESTINATION right heart
	HAS_ROUTE transluminal route
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "left heart cardiac catheterization"
SOURCE "ICD-9-CM"
CODE "37.22"
PARAPHRASE "((percutaneous transluminal)) catheterization of left heart motivated by diagnosis"
HISTORY "
Manual accept at 2:44:23 pm on June 26, 1998 by jeremy
Manual accept at 2:46:39 pm on June 26, 1998 by jeremy"
MAIN inserting
	ACTS_ON catheter
		HAS_DESTINATION left heart
	HAS_ROUTE transluminal route
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "combined right and left heart cardiac catheterization"
SOURCE "ICD-9-CM"
CODE "37.23"
PARAPHRASE "((percutaneous transluminal)) catheterization of left heart and of right heart motivated by diagnosis"
HISTORY "
Manual accept at 2:45:47 pm on June 26, 1998 by jeremy
Manual accept at 2:46:01 pm on June 26, 1998 by jeremy"
MAIN inserting
	ACTS_ON catheter
		HAS_DESTINATION left heart
	HAS_ROUTE transluminal route
	HAS_APPROACH percutaneous route
WITH_MAIN inserting
	ACTS_ON catheter
		HAS_DESTINATION right heart
	HAS_ROUTE transluminal route
	HAS_APPROACH percutaneous route
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "biopsy of pericardium"
SOURCE "ICD-9-CM"
CODE "37.24"
PARAPHRASE "biopsy of pericardium motivated by diagnosis"
MAIN biopsying
	ACTS_ON pericardium
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "biopsy of heart"
SOURCE "ICD-9-CM"
CODE "37.25"
PARAPHRASE "biopsy of heart motivated by diagnosis"
MAIN biopsying
	ACTS_ON heart
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "cardiac electrophysiologic stimulation and recording studies"
SOURCE "ICD-9-CM"
CODE "37.26"
PARAPHRASE "((percutaneous transluminal)) catheterization for electrical stimulation of right heart motivated by diagnosis"
HISTORY "
Manual accept at 2:48:56 pm on June 26, 1998 by jeremy"
MAIN inserting
	ACTS_ON electrical catheter
		HAS_DESTINATION right heart
	HAS_ROUTE transluminal route
	HAS_APPROACH percutaneous route
	TO_ACHIEVE stimulating
		ACTS_ON right heart
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "other diagnostic procedures on heart and pericardium"
PARAPHRASE "medical deed acts on heart motivated by diagnosis"
CODE "37.29/1"
COMMENT "uguale '37.2' "
SOURCE "ICD-9-CM"
MAIN OTHER surgical deed
	ACTS_ON heart
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "other diagnostic procedures on heart and pericardium"
SOURCE "ICD-9-CM"
CODE "37.29/2"
PARAPHRASE "medical deed acts on pericardium motivated by diagnosis"
MAIN OTHER surgical deed
	ACTS_ON pericardium
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "pericardiectomy and excision of lesion of heart"
SOURCE "ICD-9-CM"
CODE "37.3/1"
PARAPHRASE "excision of pericardium "
MAIN excising
	ACTS_ON pericardium

RUBRIC "pericardiectomy and excision of lesion of heart"
SOURCE "ICD-9-CM"
CODE "37.3/2"
PARAPHRASE "excision of a lesion located in heart"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION heart

RUBRIC "pericardiectomy"
SOURCE "ICD-9-CM"
CODE "37.31"
PARAPHRASE "excision of pericardium"
MAIN excising
	ACTS_ON pericardium

RUBRIC "excision of aneurysm of heart"
SOURCE "ICD-9-CM"
CODE "37.32"
PARAPHRASE "excision of aneurysm located on heart ((has approach open chest))"
MAIN excising
	ACTS_ON aneurysm
		HAS_LOCATION heart
	HAS_APPROACH open chest

RUBRIC "excision or destruction of other lesion or tissue of heart"
PARAPHRASE "excision of other lesion of heart"
CODE "37.33/1"
COMMENT "Lesion (dorland): any pathological or traumatic discontinuity of tissue or loss of function of a part; (wiley): a pathologic alteration in the structure or function of a tissue or organ. Tissue (dorland): an aggregation of similarly specialized cells un"
SOURCE "ICD-9-CM"
MAIN excising
	ACTS_ON OTHER lesion (as structure)
		HAS_LOCATION heart

RUBRIC "excision or destruction of other lesion or tissue of heart"
SOURCE "ICD-9-CM"
CODE "37.33/2"
PARAPHRASE "excision of other lesion of heart ((open chest))"
MAIN excising
	ACTS_ON OTHER lesion (as structure)
		HAS_LOCATION heart
	HAS_APPROACH open chest

RUBRIC "excision or destruction of other lesion or tissue of heart"
SOURCE "ICD-9-CM"
CODE "37.33/3"
PARAPHRASE "excision of tissue of heart"
MAIN excising
	ACTS_ON tissue
		IS_PART_OF heart

RUBRIC "excision or destruction of other lesion or tissue of heart"
SOURCE "ICD-9-CM"
CODE "37.33/4"
PARAPHRASE "excision of tissue of heart ((open chest))"
MAIN excising
	ACTS_ON tissue
		IS_PART_OF heart
	HAS_APPROACH open chest

RUBRIC "excision or destruction of other lesion or tissue of heart"
SOURCE "ICD-9-CM"
CODE "37.33/5"
PARAPHRASE "destruction of other lesion of heart"
MAIN destroying
	ACTS_ON OTHER lesion (as structure)
		HAS_LOCATION heart

RUBRIC "excision or destruction of other lesion or tissue of heart"
SOURCE "ICD-9-CM"
CODE "37.33/6"
PARAPHRASE "destruction of other lesion of heart ((open chest))"
MAIN destroying
	ACTS_ON OTHER lesion (as structure)
		HAS_LOCATION heart
	HAS_APPROACH open chest

RUBRIC "excision or destruction of other lesion or tissue of heart"
SOURCE "ICD-9-CM"
CODE "37.33/7"
PARAPHRASE "destruction of tissue of heart"
MAIN destroying
	ACTS_ON tissue
		IS_PART_OF heart

RUBRIC "excision or destruction of other lesion or tissue of heart"
SOURCE "ICD-9-CM"
CODE "37.33/8"
PARAPHRASE "destruction of tissue of heart ((open chest))"
MAIN destroying
	ACTS_ON tissue
		IS_PART_OF heart
	HAS_APPROACH open chest

RUBRIC "catheter ablation of lesion or tissue of heart"
SOURCE "ICD-9-CM"
CODE "37.34/1"
PARAPHRASE "excision of tissue in the heart using a catheter ((percutaneous transluminal))"
MAIN excising
	HAS_ROUTE transluminal route
	ACTS_ON tissue
		IS_PART_OF heart
	BY_MEANS_OF catheter
	HAS_APPROACH percutaneous route

RUBRIC "catheter ablation of lesion or tissue of heart"
SOURCE "ICD-9-CM"
CODE "37.34/2"
PARAPHRASE "excision of lesion in the heart using a catheter ((percutaneous transluminal))"
MAIN excising
	HAS_ROUTE transluminal route
	ACTS_ON lesion (as structure)
		HAS_LOCATION heart
	BY_MEANS_OF catheter
	HAS_APPROACH percutaneous route

RUBRIC "repair of heart and pericardium"
SOURCE "ICD-9-CM"
CODE "37.4/1"
PARAPHRASE "repair heart"
MAIN repairing
	ACTS_ON heart

RUBRIC "repair of heart and pericardium"
SOURCE "ICD-9-CM"
CODE "37.4/2"
PARAPHRASE "repair pericardium"
MAIN repairing
	ACTS_ON pericardium

RUBRIC "heart transplantation"
SOURCE "ICD-9-CM"
CODE "37.5"
PARAPHRASE "transplanting heart"
MAIN transplanting
	ACTS_ON heart

RUBRIC "implantation of heart assist system"
SOURCE "ICD-9-CM"
CODE "37.6"
PARAPHRASE "inserting a system to assist heart"
MAIN inserting
	ACTS_ON device
		HAS_FUNCTION assisting
			ACTS_ON heart

RUBRIC "implant of pulsation balloon"
SOURCE "ICD-9-CM"
CODE "37.61"
PARAPHRASE "inserting a pulsation balloon to assist heart ((transluminal approach))"
MAIN inserting
	HAS_ROUTE transluminal route
	ACTS_ON pulsation balloon
		HAS_FUNCTION assisting
			ACTS_ON heart
	HAS_APPROACH percutaneous route

RUBRIC "implant of other heart assist system"
SOURCE "ICD-9-CM"
CODE "37.62"
PARAPHRASE "implanting an OTHER system to assist heart"
MAIN inserting
	ACTS_ON OTHER device
		HAS_FUNCTION assisting
			ACTS_ON heart

RUBRIC "replacement and repair of heart assist system"
SOURCE "ICD-9-CM"
CODE "37.63/1"
PARAPHRASE "replacing a system to assist heart"
MAIN replacing
	ACTS_ON device
		HAS_FUNCTION assisting
			ACTS_ON heart

RUBRIC "replacement and repair of heart assist system"
SOURCE "ICD-9-CM"
CODE "37.63/2"
PARAPHRASE "reparing a system to assist heart"
MAIN repairing
	ACTS_ON device
		HAS_FUNCTION assisting
			ACTS_ON heart

RUBRIC "removal of heart assist system"
SOURCE "ICD-9-CM"
CODE "37.64"
PARAPHRASE "removing a system to assist heart"
MAIN removing
	ACTS_ON device
		HAS_FUNCTION assisting
			ACTS_ON heart

RUBRIC "insertion, revision, replacement, and removal of pacemaker leads; insertion of temporary pacemaker system"
SOURCE "ICD-9-CM"
CODE "37.7/1"
PARAPHRASE "insertion of lead which is part of a pacemaker system to assist heart"
MAIN inserting
	ACTS_ON lead
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart

RUBRIC "insertion, revision, replacement, and removal of pacemaker leads; insertion of temporary pacemaker system"
SOURCE "ICD-9-CM"
CODE "37.7/2"
PARAPHRASE "revision of lead which is part of a pacemaker system to assist heart"
MAIN revising
	ACTS_ON lead
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart

RUBRIC "insertion, revision, replacement, and removal of pacemaker leads; insertion of temporary pacemaker system"
SOURCE "ICD-9-CM"
CODE "37.7/3"
PARAPHRASE "replacement of lead which is part of a pacemaker system to assist heart"
MAIN replacing
	ACTS_ON lead
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart

RUBRIC "insertion, revision, replacement, and removal of pacemaker leads; insertion of temporary pacemaker system"
SOURCE "ICD-9-CM"
CODE "37.7/4"
PARAPHRASE "removal of lead which is part of a pacemaker system to assist heart"
MAIN removing
	ACTS_ON lead
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart

RUBRIC "insertion, revision, replacement, and removal of pacemaker leads; insertion of temporary pacemaker system"
PARAPHRASE "insertion of temporary pacemaker system to assist heart"
CODE "37.7/5"
COMMENT "PROBLEM: a pacemaker is not <temporary>, but the effect of the deed; see also <temporary colostomy> "
SOURCE "ICD-9-CM"
MAIN inserting
	ACTS_ON pacemaker
		HAS_FUNCTION stimulating
			ACTS_ON heart
	HAS_TEMPORAL_MARKER temporary

RUBRIC "initial insertion of cardiac pacemaker lead [electrode], not otherwise specified"
PARAPHRASE "insertion of pacemaker system lead to assist heart"
CODE "37.70"
COMMENT " initial= first time, i.e. is it implicit in the 'normal' insertion'; the subsequent will be 'replacement' or 'revision' "
SOURCE "ICD-9-CM"
MAIN inserting
	ACTS_ON lead
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart

RUBRIC "initial insertion of transvenous lead [electrode] into ventricle"
SOURCE "ICD-9-CM"
CODE "37.71"
PARAPHRASE "insertion of ((percutaneous)) transvenous lead ((of pacemaker system )) into right ventricle "
MAIN inserting
	HAS_ROUTE transvenous route
	ACTS_ON lead
		HAS_DESTINATION right ventricle
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart
	HAS_APPROACH percutaneous route

RUBRIC "initial insertion of transvenous leads [electrodes] into atrium and ventricle"
PARAPHRASE "insertion of ((percutaneous)) transvenous lead ((of pacemaker system )) into right atrium and insertion of ((percutaneous))transvenous lead ((of pacemaker system )) into right ventricle"
CODE "37.72"
COMMENT "enactement within the same intervention"
SOURCE "ICD-9-CM"
MAIN inserting
	HAS_ROUTE transvenous route
	ACTS_ON lead
		HAS_DESTINATION right ventricle
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart
	HAS_APPROACH percutaneous route
WITH inserting
	HAS_ROUTE transvenous route
	ACTS_ON lead
		HAS_DESTINATION right atrium
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart
	HAS_APPROACH percutaneous route

RUBRIC "initial insertion of transvenous lead [electrode] into atrium"
SOURCE "ICD-9-CM"
CODE "37.73"
PARAPHRASE "insertion of ((percutaneous)) transvenous lead ((of pacemaker system )) into right atrium "
MAIN inserting
	HAS_ROUTE transvenous route
	ACTS_ON lead
		HAS_DESTINATION right atrium
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart
	HAS_APPROACH percutaneous route

RUBRIC "insertion or replacement of lead [electrode] into epicardium"
SOURCE "ICD-9-CM"
CODE "37.74/1"
PARAPHRASE "insertion of lead ((of pacemaker system )) into epicardium "
MAIN inserting
	ACTS_ON lead
		HAS_DESTINATION epicardium
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart

RUBRIC "insertion or replacement of lead [electrode] into epicardium"
SOURCE "ICD-9-CM"
CODE "37.74/2"
PARAPHRASE "insertion of lead ((of pacemaker system )) into epicardium ((open chest))"
MAIN inserting
	ACTS_ON lead
		HAS_DESTINATION epicardium
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart
	HAS_APPROACH open chest

RUBRIC "insertion or replacement of lead [electrode] into epicardium"
SOURCE "ICD-9-CM"
CODE "37.74/3"
PARAPHRASE "replacement of lead ((of pacemaker system )) into epicardium "
MAIN replacing
	ACTS_ON lead
		HAS_LOCATION epicardium
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart

RUBRIC "insertion or replacement of lead [electrode] into epicardium"
SOURCE "ICD-9-CM"
CODE "37.74/4"
PARAPHRASE "replacement of lead ((of pacemaker system )) into epicardium ((open chest))"
MAIN replacing
	ACTS_ON lead
		HAS_LOCATION epicardium
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart
	HAS_APPROACH open chest

RUBRIC "revision of lead [electrode]"
SOURCE "ICD-9-CM"
CODE "37.75/1"
PARAPHRASE "revision of lead ((of pacemaker system ))"
MAIN revising
	ACTS_ON lead
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart

RUBRIC "revision of lead [electrode]"
SOURCE "ICD-9-CM"
CODE "37.75/2"
PARAPHRASE "revision of lead ((of pacemaker system )) ((transvenous percutaneous))"
MAIN revising
	HAS_ROUTE transvenous route
	ACTS_ON lead
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart
	HAS_APPROACH percutaneous route

RUBRIC "replacement of transvenous atrial and/or ventricular leads [electrodes]"
PARAPHRASE "replacement of transvenous ((percutaneous)) lead ((of pacemaker system )) into right atrium and replacement of transvenous ((percutaneous))lead ((of pacemaker system )) into right ventricle "
CODE "37.76/1"
COMMENT "enactement within the same intervention"
SOURCE "ICD-9-CM"
MAIN replacing
	HAS_ROUTE transvenous route
	ACTS_ON lead
		HAS_LOCATION right atrium
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart
	HAS_APPROACH percutaneous route
WITH replacing
	HAS_ROUTE transvenous route
	ACTS_ON lead
		HAS_LOCATION right atrium
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart
	HAS_APPROACH percutaneous route

RUBRIC "replacement of transvenous atrial and/or ventricular leads [electrodes]"
SOURCE "ICD-9-CM"
CODE "37.76/2"
PARAPHRASE "replacement of transvenous ((percutaneous)) lead ((of pacemaker system )) into right ventricle "
MAIN replacing
	HAS_ROUTE transvenous route
	ACTS_ON lead
		HAS_LOCATION right ventricle
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart
	HAS_APPROACH percutaneous route

RUBRIC "replacement of transvenous atrial and/or ventricular leads [electrodes]"
SOURCE "ICD-9-CM"
CODE "37.76/3"
PARAPHRASE "replacement of transvenous ((percutaneous)) lead ((of pacemaker system )) into right atrium "
MAIN replacing
	HAS_ROUTE transvenous route
	ACTS_ON lead
		HAS_LOCATION right atrium
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart
	HAS_APPROACH percutaneous route

RUBRIC "removal of lead(s) [electrode(s)] without replacement"
SOURCE "ICD-9-CM"
CODE "37.77"
PARAPHRASE "removal of lead ((of pacemaker system ))"
MAIN removing
	ACTS_ON lead
		IS_PART_OF pacemaker
			HAS_FUNCTION stimulating
				ACTS_ON heart

RUBRIC "insertion of temporary transvenous pacemaker system"
PARAPHRASE "transvenous ((percutaneous)) temporary insertion of pacemaker system "
CODE "37.78"
COMMENT "PROBLEM: a pacemaker is not <temporary>, but the effect of the deed "
SOURCE "ICD-9-CM"
MAIN inserting
	HAS_ROUTE transluminal route
	ACTS_ON pacemaker
	HAS_APPROACH percutaneous route
	HAS_TEMPORAL_MARKER temporary

RUBRIC "revision or relocation of pacemaker pocket"
SOURCE "ICD-9-CM"
CODE "37.79/1"
PARAPHRASE "revision of ((surgical skin)) pocket for pacemaker ((of pacemaker system ))"
MAIN revising
	ACTS_ON surgical skin pocket
		CONTAINS pacemaker
			IS_PART_OF pacemaker
				HAS_FUNCTION stimulating
					ACTS_ON heart

RUBRIC "revision or relocation of pacemaker pocket"
SOURCE "ICD-9-CM"
CODE "37.79/2"
PARAPHRASE "relocation of ((surgical skin)) pocket for pacemaker ((of pacemaker system ))"
MAIN relocating
	ACTS_ON surgical skin pocket
		CONTAINS pacemaker
			IS_PART_OF pacemaker
				HAS_FUNCTION stimulating
					ACTS_ON heart

RUBRIC "insertion, replacement, removal, and revision of pacemaker device"
PARAPHRASE "insertion of a pacemaker system"
CODE "37.8/1"
COMMENT "manca dove il pacemaker viene inserito"
SOURCE "ICD-9-CM"
MAIN inserting
	ACTS_ON pacemaker
		HAS_FUNCTION stimulating
			ACTS_ON heart

RUBRIC "insertion, replacement, removal, and revision of pacemaker device"
SOURCE "ICD-9-CM"
CODE "37.8/2"
PARAPHRASE "replacement of a pacemaker system"
MAIN replacing
	ACTS_ON pacemaker
		HAS_FUNCTION stimulating
			ACTS_ON heart

RUBRIC "insertion, replacement, removal, and revision of pacemaker device"
SOURCE "ICD-9-CM"
CODE "37.8/3"
PARAPHRASE "removal of a pacemaker system"
MAIN removing
	ACTS_ON pacemaker
		HAS_FUNCTION stimulating
			ACTS_ON heart

RUBRIC "insertion, replacement, removal, and revision of pacemaker device"
SOURCE "ICD-9-CM"
CODE "37.8/4"
PARAPHRASE "revision of a pacemaker system"
MAIN revising
	ACTS_ON pacemaker
		HAS_FUNCTION stimulating
			ACTS_ON heart

RUBRIC "other operations on heart and pericardium"
PARAPHRASE "medical deed on heart "
CODE "37.9/1"
COMMENT "abstraction"
SOURCE "ICD-9-CM"
MAIN OTHER surgical deed
	ACTS_ON heart

RUBRIC "other operations on heart and pericardium"
PARAPHRASE "medical deed on pericardium"
CODE "37.9/2"
COMMENT "abstraction"
SOURCE "ICD-9-CM"
MAIN OTHER surgical deed
	ACTS_ON pericardium

RUBRIC "other operations on heart and pericardium"
SOURCE "ICD-9-CM"
CODE "37.9/3"
PARAPHRASE "other surgical deed on heart "
MAIN OTHER surgical deed
	ACTS_ON heart

RUBRIC "other operations on heart and pericardium"
SOURCE "ICD-9-CM"
CODE "37.9/4"
PARAPHRASE "other surgical deed on heart ((open chest))"
MAIN OTHER surgical deed
	ACTS_ON heart
	HAS_APPROACH NON-ANALYTICALLY open chest

RUBRIC "other operations on heart and pericardium"
SOURCE "ICD-9-CM"
CODE "37.9/5"
PARAPHRASE "other surgical deed on pericardium"
MAIN OTHER surgical deed
	ACTS_ON pericardium

RUBRIC "other operations on heart and pericardium"
SOURCE "ICD-9-CM"
CODE "37.9/6"
PARAPHRASE "other surgical deed on pericardium ((open chest))"
MAIN OTHER surgical deed
	ACTS_ON pericardium
	HAS_APPROACH NON-ANALYTICALLY open chest

RUBRIC "open chest cardiac massage"
SOURCE "ICD-9-CM"
CODE "37.91"
COMMENT "cardiac massage is medical; PROBLEM: perhaps it remains <medical> also during the surgical operation "
PARAPHRASE "cardiac massage has approach open chest "
MAIN massaging
	ACTS_ON heart
	HAS_APPROACH open chest

RUBRIC "implantation or replacement of automatic cardioverter/defibrillator, total system [AICD]"
PARAPHRASE "inserting of automatic implantable cardioverter defibrillator ((for cardioversion))"
CODE "37.94/1"
COMMENT "child of '37.9'; ACTS_ON ((x  PERFORMS (y ACTS_ON heart))  --> ACTS_ON heart"
SOURCE "ICD-9-CM"
MAIN inserting
	ACTS_ON automatic implantable cardioverter defibrillator
		HAS_FUNCTION cardioversion
			ACTS_ON heart

RUBRIC "implantation or replacement of automatic cardioverter/defibrillator, total system [AICD]"
SOURCE "ICD-9-CM"
CODE "37.94/2"
PARAPHRASE "replacement of automatic implantable cardioverter defibrillator ((for cardioversion))"
MAIN replacing
	ACTS_ON automatic implantable cardioverter defibrillator
		HAS_FUNCTION cardioversion
			ACTS_ON heart

RUBRIC "implantation of automatic cardioverter/defibrillator lead(s) only"
SOURCE "ICD-9-CM"
CODE "37.95"
PARAPHRASE "inserting of lead ((of automatic implantable cardioverter defibrillator)) ((for cardioversion))"
MAIN inserting
	ACTS_ON lead
		IS_PART_OF automatic implantable cardioverter defibrillator
			HAS_FUNCTION cardioversion
				ACTS_ON heart

RUBRIC "implantation of automatic cardioverter/defibrillator pulse generator only"
SOURCE "ICD-9-CM"
CODE "37.96"
PARAPHRASE "inserting of pulse generator ((of automatic implantable cardioverter defibrillator)) ((for cardioversion))"
MAIN inserting
	ACTS_ON pulse generator
		IS_PART_OF automatic implantable cardioverter defibrillator
			HAS_FUNCTION cardioversion
				ACTS_ON heart

RUBRIC "replacement of automatic cardioverter/defibrillator lead(s) only"
SOURCE "ICD-9-CM"
CODE "37.97"
PARAPHRASE "replacement of lead which is part of automatic implantable cardioverter defibrillator "
MAIN replacing
	ACTS_ON lead
		IS_PART_OF automatic implantable cardioverter defibrillator
			HAS_FUNCTION cardioversion
				ACTS_ON heart

RUBRIC "replacement of automatic cardioverter/defibrillator pulse generator only"
SOURCE "ICD-9-CM"
CODE "37.98"
PARAPHRASE "replacement of pulse generator which is part of automatic implantable cardioverter defibrillator "
MAIN replacing
	ACTS_ON pulse generator
		IS_PART_OF automatic implantable cardioverter defibrillator
			HAS_FUNCTION cardioversion
				ACTS_ON heart

RUBRIC "other"
SOURCE "ICD-9-CM"
CODE "37.99"
PARAPHRASE "((other operation on automatic implantable cardioverter defibrillator)) ((to assist heart))"
MAIN OTHER surgical deed
	ACTS_ON automatic implantable cardioverter defibrillator
		HAS_FUNCTION cardioversion
			ACTS_ON heart

RUBRIC "other operations on heart and pericardium"
SOURCE "ICD-9-CM"
CODE "37/1"
PARAPHRASE "surgical deed on heart "
MAIN OTHER surgical deed
	ACTS_ON heart

RUBRIC "other operations on heart and pericardium"
SOURCE "ICD-9-CM"
CODE "37/2"
PARAPHRASE "surgical deed on pericardium"
MAIN OTHER surgical deed
	ACTS_ON pericardium

RUBRIC "operation on the cardiovascular system "
PARAPHRASE " "
CODE "7"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON cardiovascular system

