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 E04 Surgical Procedures, Operative D013514 +
  E04.100 Cardiovascular Surgical Procedures D013504 +
   E04.100.376 Cardiac Surgical Procedures D006348 +
    E04.100.376.485 Heart Valve Prosthesis Implantation D019918 

 E04 Surgical Procedures, Operative D013514 +
  E04.650 Prosthesis Implantation D019919 +
   E04.650.410 Heart Valve Prosthesis Implantation D019918 

 E04 Surgical Procedures, Operative D013514 +
  E04.928 Thoracic Surgical Procedures D019616 +
   E04.928.220 Cardiac Surgical Procedures D006348 +
    E04.928.220.410 Heart Valve Prosthesis Implantation D019918