Bibliographic record
Abstract
Objective To summarize the surgical outcomes and experiences in the repair of ventricular septal defects through a right anterolateral minithoractomy. Methods A total of 61 patients underwent surgical repair for ventricular septal defects through right anterolateral minithoracotomy. There were 38 males and 23 females with an age range of 2.5 to 27 years [mean: (7.1±4.8) years] and their body weight from 11 to 71 kg [mean: (22.0±11.6) kg]. Associated moderate pulmonary hypertension was in 10 cases. The operations were performed with deep hemodilution through cardiopulmonary bypass(CPB) under mild hypothermia. The skin incisions were made in the fifth right intercostal space and limited to 5 to 8 cm. The entry of the chest was in the third or fourth intercostal space. The pericardium was opened anteriorly 2.0 cm to the right phrenic nerve. Standard CPB was established after the canulae were inserted into the ascending aorta and both vena cavae. Repair of ventricular septal defects was done under cardioplegic arrest heart with direct suture or Dacron patch. Results All the patients recovered and were discharged from the hospital. The average length of skin incision was (6.9±0.9) cm. Mean CPB time, aortic cross clamp time were (57.4±21.8) minutes and (36.2±14.8) minutes, respectively. Postoperative mechanical ventilation time, intensive care unit time, and postoperative hospital stay were (8.5±5.8) h, (33.6±16.9) h and (8.2±1.9) d, respectively. The mean volume of postoperative chest drainage was (206.1±150.7) ml. There were 52 patients (85%) who required no homologous blood transfusion. There were 2 residual shunts in all patients during 3 month to 4 year follow up. Conclusion Repair of ventricular septal defects through a right anterolateral minithoractomy is a safe, effective and minimally invasive technique. Cosmetic results are satisfactory. It can minimize homologous blood transfusion and improve postoperative outcome. Transtricuspidal ventricular septal defect repair can be performed with the right anterolateral minithoractomy.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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 teacher head, 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".