IMPACT-0120 - Sequence # 8160 | Unplanned Cardiac Surgery-0120 - Sequence # 8160

Video Transcription

Video Summary

In this video, the case scenario sequence number 8160 titled "Unplanned Cardiac Surgery Due to Cath Complication" is presented. The patient is a 28-year-old male with a history of Tetralogy of Fallot who visits the emergency department complaining of fatigue, shortness of breath, and exercise intolerance. He had a previous surgery with complications that required an ICD. Due to the ICD discharging several times, the patient opts for a TPVR procedure. However, less than 24 hours after being discharged, the patient returns to the emergency department with severe shortness of breath and chest pain. An ECG shows arrhythmias and a bedside echo reveals valve malposition. As a result, the patient undergoes unplanned cardiac surgery to retrieve the valve. The video discusses how to code this scenario and clarifies that in this case, the patient's new episode of care begins when they return to the emergency department.<br />Credits: The Impact Registry Monthly Case Scenario for January 2020, Sequence Number 8160.

Keywords

Unplanned Cardiac Surgery

Cath Complication

Tetralogy of Fallot

ICD

TPVR procedure