Postpericardiotomy Syndrome after Minimally Invasive Pectus Excavatum Repair Unresponsive to Nonsteroidal Anti-Inflammatory Treatment
Bibliographic record
Abstract
A 14-year-old boy developed postpericardiotomy syndrome after an otherwise uneventful minimally invasive pectus excavatum repair. Dyspnoea, chest pain, and pericardial effusion progressed despite nonsteroidal anti-inflammatory treatment. The symptoms rapidly resolved with intravenous methylprednisolone, and pericardiocentesis was thus avoided. This is the first report of postpericardiotomy syndrome after the Nuss procedure treated with systemic steroids. Résumé Un garcon de 14 ans a developpé un syndrome post-péricardiotomie après une intervention non-invasive pour pectus excavatum. Dyspnée, douleurs thoraciques et épanchement péricardique ont progressé malgré un traitement anti-inflammatoire non stéroïdien. Les symptomes ont rapidement disparu après injection intra-veineuse de méthylprednisolone, et un drainage péri-cardique a pu être évité. Ceci est le premier cas rapporté de syndrome post-péricardiotomie après le traitement de Nuss et traité par des corticoïdes par voir intra-veineuse. Resumen Un muchacho de 14 años desarrolló un síndrome postpericardiotomía tras la reparación mínimamente invasiva de un pectus excavatum que transcurrió sin incidentes. Aparecieron disnea, dolor torácico y derrame pericárdico crecientes a pesar del tratamiento antiinflamatorio no esteroideo. Los síntomas se resolvieron rápidamente con metilprednisolona endovenosa y se evitó por lo tanto la pericardiocentesis. Este es el primer caso publicado de síndrome postpericardiotomía tras un procedimiento de Nuss tratado con esteroides sistémicos. Zusammenfassung Ein 14-jähriger Patient entwickelte bei sonst regelrechtem Verlauf nach minimal invasiver Korrektur seiner Trichterbrust ein Postperikardiotomie-Syndrom. Trotz nichtsteroidaler antientzündlicher Behandlung nahmen Kurzatmigkeit, Thoraxschmerzen und Perikarderguss zu. Die Symptome besserten sich schlagartig mit intravenösem Methylprednisolon, so dass von einer Perikardpunktion abgesehen werden konnte. Dies ist der erste mit systemischen Steroiden behandelte Fall von Postperikardiotomie-Syndrom nach minimal invasiver Trichterbrustkorrektur.
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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 | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 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 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".