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Record W4409258337 · doi:10.1016/j.crmic.2025.100068

Left Circumflex Aneurysm With Coronary Sinus Fistula In a Middle-aged Man: A Case Report

2025· article· en· W4409258337 on OpenAlexaff
Abdulrahman Al-Qaysi, Desmond Boakye Tanoh, H.M. Danish Sultan, Zainab Al-Qaysi, Naser Sayeh

Bibliographic record

VenueCardiovascular Revascularization Medicine Interesting Cases · 2025
Typearticle
Languageen
FieldMedicine
TopicCoronary Artery Anomalies
Canadian institutionsUniversity of British Columbia
Fundersnot available
KeywordsMedicineCircumflexFistulaCoronary sinusCardiologyAneurysmInternal medicineSinus (botany)Aortic sinusSurgeryArtery

Abstract

fetched live from OpenAlex

Coronary artery aneurysms (CAAs) and coronary artery fistulas (CAFs) are rare abnormalities. CAA is an abnormal dilatation of the coronary artery while CAF is an unusual connection between a coronary artery and other cardiac structures. We report a case of a 55-year-old male with a history of atrial fibrillation and mitral regurgitation who was diagnosed with a left circumflex artery aneurysm, with a fistula connecting to the coronary sinus. He subsequently underwent an aneurysm resection, along with coronary artery bypass grafting (CABG) and mitral valve replacement. In this case report, we underscore the importance of early identification of this rare condition, as timely intervention mitigates potential complications, including coronary aneurysm rupture.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.018
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.034
GPT teacher head0.280
Teacher spread0.246 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designCase report
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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