Cardiac Surgery at the Time of Simultaneous Liver-Kidney Transplantation
Bibliographic record
Abstract
Cardiac valve disease is often a contraindication to liver or simultaneous liver-kidney transplantation. The risk of heart surgery in these patients is extremely high, yet uncorrected valve disease jeopardizes transplantation outcomes. Two cases of combined aortic valve replacement at the time of simultaneous liver-kidney transplantation, with 2-month and 3-year postoperative follow-ups, are discussed. Both patients survived surgery and were discharged with good allograft and heart function. At last follow-up, neither experienced graft failure or valve dysfunction, although one patient did develop type 1B rejection of his kidney allograft. In appropriate cases, surgical correction of structural heart disease can be performed at the time of complex abdominal organ transplantation, accomplishing both otherwise contraindicated procedures. J Curr Surg. 2016;6(1):37-40 doi: http://dx.doi.org/10.14740/jcs300w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".