A Neonate With TGA and Restrictive Foramen Ovale: How to Apply Ordinary Catheterization Through the Umbilical Vein to Rescue the Neonate, a Case Report
Bibliographic record
Abstract
Transposition of the great vessels (TGA), particularly with a restrictive foramen ovale (FO), constitutes a direct threat to neonatal life in the first hours of life. Poor mixing of oxygenated and deoxygenated blood leads to severe cyanosis and death. Administration of prostaglandin E1 (Alprostadil) to maintain the patency of the arterial duct allows an increase of the pulmonary blood flow and its return to the left atrium. In cases of TGA with restricted interatrial communication, higher pressure in the left atrium causes closing of the FO flap and better mixing cannot be achieved. In such cases, urgent balloon atrial septostomy (BAS - Rashkind procedure) is the method of choice. It enables mixing of the blood and survival of the child until the surgical procedure can be performed. We present the case of a neonate in whom the FO flap was opened by introducing an ordinary catheter (3.5 French) via the umbilical vein. The procedure was performed, with good effect, at a neonatal center that had no facilities for invasive cardiology treatment. J Med Cases. 2014;5(10):529-531 doi: http://dx.doi.org/10.14740/jmc1853w
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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 | 0.005 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.001 | 0.003 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.005 | 0.003 |
| 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 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".