Pectus Excavatum, Patent Foramen Ovale, and Migraine in the Same Patient
Bibliographic record
Abstract
BACKGROUND: A patent foramen ovale (PFO) can be found in patients with pectus excavatum (PE); PFO can be associated with migraines. CASE SUMMARY: A 22-year-old woman presents a PE and a history of recurrent migraines. Pulsed oxygen saturation at effort decreased from 97% to 92%. A transthoracic echocardiography showed a PFO. Five years after the Ravitch procedure, pulsed oxygen saturation remained stable at effort, no PFO was shown on transthoracic echocardiography, and migraine disappeared. DISCUSSION: Our observation is the first description of the PE, PFO, and migraine association. The correction of PE has allowed the closure of the PFO and improved migraines. TAKE-HOME MESSAGES: This case report suggests that a patient presenting a PE should undergo a comprehensive cardiorespiratory evaluation. Similarly, patients with a symptomatic PFO and PE should benefit from a multidisciplinary discussion involving thoracic surgeons to determine the best approach to treat the PFO.
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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) | 0.000 | 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) | 0.000 | 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".