64 Outcomes following surgical repair of anomalous aortic origin of coronary arteries
Bibliographic record
Abstract
<h3>Introduction</h3> Although coronary arteries that arise from the opposite sinus of Valsalva have a known association with sudden cardiac death, they most commonly present to cardiologists and cardiac surgeons with symptoms of either typical or atypical angina. This retrospective study aimed to examine the outcomes of a consecutive set of patients who underwent surgical repair of their anomalous coronary arteries under the care of one cardiac surgeon from 2010 to date. <h3>Methods</h3> The hospital cardiac surgery records were searched for keywords to identify all retrospective cases of coronary artery anomalies since 2010. Eligible patients were contacted and surveyed about their symptoms and their electronic healthcare records were checked. Only patients who underwent a primary procedure to correct their anomalous coronary artery were selected for this study to reduce the confounding impact of other procedures on the outcomes. <h3>Results</h3> Twelve eligible cases of anomalous aortic origin of a coronary artery were identified. The mean age of patients was 52.9 years. The male to female ratio was 2:1 and the mean logistic EuroSCORE was 2.15. In eight cases (67%) the right coronary artery originated from the left sinus and in four cases (33%) the left coronary artery, or its associated branches, originated from the right sinus. All cases had a malignant course and all patients were symptomatic. Eleven patients (92%) had complete resolution (n=2, 17%) or significant improvement (n=9, 75%) of their preoperative symptoms with only one patient (8%) reporting no significant improvement. There were no mortalities, however two patients had significant complications related to myocardial ischaemia during surgery. There were no recorded major adverse cardiac events or deaths at five years [table 1]. <h3>Conclusion</h3> This small cohort of anomalous coronary artery repairs suggest that these are relatively safe procedures. This study also suggests that repair should be considered in this age group when patients are symptomatic.
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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) | 0.001 | 0.000 |
| 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) | 0.001 | 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".