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The CPT® Code 33980 refers to the surgical procedure for the removal of a ventricular assist device (VAD) that is implantable and intracorporeal, specifically designed for a single ventricle. This procedure is typically indicated for patients who have had a VAD implanted to support heart function due to severe heart failure or other cardiac conditions. The removal process involves reopening the previous sternal incision to access the chest cavity, as well as opening the VAD pocket located in the abdomen. The procedure may vary slightly depending on whether the VAD is positioned on the left or right ventricle, but generally includes the initiation of cardiopulmonary bypass and careful dissection of adhesions surrounding the heart and VAD. The VAD is then detached from its inflow component, and the necessary steps are taken to ensure the heart and surrounding structures are properly closed and secured after the device is removed. This complex surgical intervention requires meticulous attention to detail to prevent complications and ensure patient safety during the recovery process.
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