Prenatal diagnosis of interrupted aortic arch and oesophageal atresia – monitoring and postnatal management with positive outcome – case report
Bibliographic record
Abstract
This paper presents a rare case of a fetus with more than one "lethal" malformation complex heart defect: interrupted aortic arch (IAA) with atrio-ventricular canal, oesophageal atresia, and agenesis corpus callosum.Prenatal diagnosis allowed for transfer in utero, and fetal echocardiography longitudinal monitoring to confirm fetal wellbeing and to avoid prematurity.Delivery happened in a tertiary centre, and there was an early postnatal surgery: on the 2 nd day a successful thoracoscopic repair of the oesophagus was done, and on the ninth day binding of both pulmonary arteries was set up.Despite the poor prognosis at the time of prenatal detection of malformations, our patient was discharged home after a 54-day hospital stay, in good postnatal clinical condition.It is the first case from our unit dealing with congenital malformations presenting a fetus and neonate who required 2 surgeries early after birth (thoracoscopy for oesophageal repair and palliative cardiac surgery -binding of pulmonary arteries) with positive outcome, representing a milestone for prenatal malformations from the perspective of a tertiary centre.
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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 | 0.004 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.004 | 0.004 |
| 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".