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 E04 Surgical Procedures, Operative D013514 +
  E04.035 Anastomosis, Surgical D000714 +
   E04.035.760 Portasystemic Shunt, Surgical D011170 +
     E04.035.760.755 Portacaval Shunt, Surgical D011167 
     E04.035.760.835 Splenorenal Shunt, Surgical D013164 
     E04.035.760.795 Portasystemic Shunt, Transjugular Intrahepatic D019168 

 E04 Surgical Procedures, Operative D013514 +
  E04.100 Cardiovascular Surgical Procedures D013504 +
   E04.100.814 Vascular Surgical Procedures D014656 +
    E04.100.814.790 Portasystemic Shunt, Surgical D011170 +
      E04.100.814.790.790 Portacaval Shunt, Surgical D011167 
      E04.100.814.790.870 Splenorenal Shunt, Surgical D013164 
      E04.100.814.790.830 Portasystemic Shunt, Transjugular Intrahepatic D019168