Is Pulmonary Artery Regurgitation the Knight in Shining Armor for a Young Adult Patient With Congenital Aortopulmonary Window?
Bibliographic record
Abstract
Aortopulmonary window in adults without signs of heart failure or pulmonary hypertension is exceptionally rare. We report here a case of a 27-year-old Caucasian male patient who presented with ventricular tachycardia and loud laterosternal systolic murmur due to a 9 mm aortopulmonary septal defect type 1, diagnosed for the first time. Echocardiography examination also revealed moderate pulmonary artery regurgitation. Pulmonary artery regurgitation may have served as the knight in shining armor in this extremely rare asymptomatic adult patient with aortopulmonary window, since a large amount of blood that enters the pulmonary trunk from the aorta redirects toward the right ventricle. Ventricular tachycardia may be the sole clinical presentation in an adult patient with aortopulmonary window and moderate pulmonary window. J Med Cases. 2018;9(11):379-381 doi: https://doi.org/10.14740/jmc3125w
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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 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 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".