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T1 Age 2 15 33 - year old T2 Sex 16 21 woman T3 Sign_symptom 85 109 congestive heart failure E1 Sign_symptom:T3 T4 History 115 130 medical history T5 Detailed_description 135 147 unremarkable R1 MODIFY Arg1:T5 Arg2:T4 T6 History 157 167 a year ago T7 Clinical_event 22 31 presented E2 Clinical_event:T7 T8 Other_event 193 207 child delivery E3 Other_event:T8 #1 AnnotatorNotes E3 neither therapeutic nor diagnostic procedure T9 Clinical_event 222 230 admitted E4 Clinical_event:T9 T10 Disease_disorder 255 277 acute pulmonary oedema E5 Disease_disorder:T10 T11 Clinical_event 482 488 surgey E6 Clinical_event:T11 #2 AnnotatorNotes E6 seems to be a typo of "surgery" T12 Clinical_event 502 512 discharged E7 Clinical_event:T12 T13 Disease_disorder 291 306 Cor triatriatum E8 Disease_disorder:T13 T14 Sign_symptom 341 363 pulmonary hypertension E9 Sign_symptom:T14 T15 Clinical_event 372 381 diagnosed E10 Clinical_event:T15 T16 Biological_structure 393 407 left ventricle T17 Detailed_description 412 448 structurally and functionally intact T18 Disease_disorder 581 606 NYHA functional class III E11 Disease_disorder:T18 T19 Clinical_event 566 575 presented E12 Clinical_event:T19 T20 Sign_symptom 620 649 heart failure and palpittions E13 Sign_symptom:T20 T21 Sign_symptom 665 690 persistent atrial flutter E14 Sign_symptom:T21 T22 Diagnostic_procedure 695 715 physical examination E15 Diagnostic_procedure:T22 T23 Biological_structure 806 817 mitral area T24 Nonbiological_location 242 250 hospital T25 Disease_disorder 840 853 heart failure E16 Disease_disorder:T25 T26 Detailed_description 828 839 right-sided R2 MODIFY Arg1:T26 Arg2:E16 T27 Therapeutic_procedure 524 531 therapy E17 Therapeutic_procedure:T27 T28 Detailed_description 516 523 medical R3 MODIFY Arg1:T28 Arg2:E17 T30 Detailed_description 911 929 moderately dilated T31 Diagnostic_procedure 869 899 transthoracic echocardiography E18 Diagnostic_procedure:T31 T32 Disease_disorder 960 971 hypokinetic E19 Disease_disorder:T32 T33 Detailed_description 951 959 globally R5 MODIFY Arg1:T33 Arg2:E19 R6 CAUSE Arg1:E14 Arg2:E13 T34 Lab_value 1029 1032 30% T35 Disease_disorder 996 1013 systolic function E20 Disease_disorder:T35 T36 Detailed_description 978 995 severely impaired R7 MODIFY Arg1:T36 Arg2:E20 T37 Biological_structure 1035 1046 Left atrium T39 Biological_structure 1048 1050 LA T41 Biological_structure 1094 1113 echogenic structure T42 Detailed_description 1072 1093 mobile, membrane-like R8 MODIFY Arg1:T42 Arg2:T41 T43 Shape 1056 1063 dilated R9 MODIFY Arg1:T43 Arg2:T37 R10 MODIFY Arg1:T43 Arg2:T39 T29 Biological_structure 930 944 left ventricle T38 Biological_structure 946 948 LV R4 MODIFY Arg1:T30 Arg2:T29 R11 MODIFY Arg1:T30 Arg2:T38 T40 Diagnostic_procedure 1123 1153 Transesophageal echocardiogram E21 Diagnostic_procedure:T40 T44 Diagnostic_procedure 1155 1158 TEE E22 Diagnostic_procedure:T44 T45 Biological_structure 1173 1195 fibromuscular membrane T46 Biological_structure 1207 1209 LA T47 Biological_structure 1329 1350 left atrial appendage T48 Biological_structure 1352 1355 LAA T49 Biological_structure 1366 1374 chambers T50 Biological_structure 1410 1417 orifice T51 Detailed_description 1394 1409 non-restrictive R12 MODIFY Arg1:T51 Arg2:T50 T52 Biological_structure 1427 1435 membrane T53 Biological_structure 1458 1470 mitral valve T54 Biological_structure 1506 1518 Mitral valve T55 Disease_disorder 1561 1581 Patent foramen ovale E23 Disease_disorder:T55 T56 Disease_disorder 1583 1586 PFO E24 Disease_disorder:T56 T57 Disease_disorder 1589 1609 atrial septal defect E25 Disease_disorder:T57 T58 Disease_disorder 1611 1614 ASD E26 Disease_disorder:T58 T59 Disease_disorder 1685 1700 cor triatriatum E27 Disease_disorder:T59 T60 Clinical_event 1705 1716 reconfirmed E28 Clinical_event:T60 T61 Diagnostic_procedure 1718 1744 Magnetic resonance imaging E29 Diagnostic_procedure:T61 T62 Diagnostic_procedure 1747 1750 MRI E30 Diagnostic_procedure:T62 T63 Biological_structure 1783 1803 fibromuscular septum T64 Biological_structure 1813 1824 left atrium T65 Lab_value 1842 1871 ventricular ejection fraction T66 Lab_value 1874 1878 LVEF T67 Lab_value 1880 1883 30% T68 Lab_value 1885 1898 cardiac index T69 Lab_value 1899 1911 1,6 L/min/m2 T70 Lab_value 1913 1927 cardiac output T71 Lab_value 1928 1937 2,7 L/min T72 Biological_structure 1987 2004 coronary arteries T73 Diagnostic_procedure 1952 1972 Coronary angiography E31 Diagnostic_procedure:T73 T74 Clinical_event 2042 2051 scheduled E32 Clinical_event:T74 T75 Clinical_event 2133 2147 administration E33 Clinical_event:T75 T76 Outcome 2090 2098 achieved E34 Outcome:T76 T77 Medication 2151 2167 sodium pentothal E35 Medication:T77 T78 Medication 2169 2181 sevofluorane E36 Medication:T78 T79 Medication 2196 2211 muscle relaxant E37 Medication:T79 T80 Medication 2183 2191 fentanyl E38 Medication:T80 T81 Other_entity 2253 2280 right radial arterial lines #3 AnnotatorNotes T81 hospital equipment T82 Other_entity 2284 2309 pulmonary artery catheter #4 AnnotatorNotes T82 hospital equipment T84 Other_entity 2336 2353 temperature probe #6 AnnotatorNotes T84 hospital equipment T83 Other_entity 2316 2330 foley catheter #5 AnnotatorNotes T83 hospital equipment T85 Diagnostic_procedure 2427 2459 Transesophageal echocardiography E39 Diagnostic_procedure:T85 T86 Diagnostic_procedure 2461 2464 TEE E40 Diagnostic_procedure:T86 T87 Clinical_event 2475 2485 instituted E41 Clinical_event:T87 T88 Therapeutic_procedure 2519 2536 median sternotomy E42 Therapeutic_procedure:T88 T89 Lab_value 2667 2671 32°C T90 Sign_symptom 2654 2665 hypothermic E43 Sign_symptom:T90 T91 Disease_disorder 3525 3545 atrial septal defect E44 Disease_disorder:T91 T92 Disease_disorder 3549 3569 patent foramen ovale E45 Disease_disorder:T92 T93 Disease_disorder 3323 3336 atrial septum E46 Disease_disorder:T93 T94 Biological_structure 3383 3395 right atrium T95 Other_entity 3415 3427 curved clamp #7 AnnotatorNotes T95 hospital equipment T96 Biological_structure 3499 3510 left atrium T97 Biological_structure 3263 3278 pulmonary veins T98 Biological_structure 3094 3103 diaphragm T99 Therapeutic_procedure 2998 3018 mitral valve surgery E47 Therapeutic_procedure:T99 T100 Biological_structure 3575 3584 diaphragm T101 Biological_structure 3633 3645 mitral valve T102 Sign_symptom 3783 3801 thrombus formation E48 Sign_symptom:T102 T103 Therapeutic_procedure 3807 3826 atriotomy incisions E49 Therapeutic_procedure:T103 T104 Other_entity 3951 3969 aortic cross-clamp #8 AnnotatorNotes T104 hospital equipment T105 Outcome 4341 4353 asymptomatic E50 Outcome:T105 T106 Clinical_event 4241 4251 discharged E51 Clinical_event:T106 T107 Lab_value 4497 4500 50% T108 Lab_value 4489 4493 LVEF T109 Diagnostic_procedure 4395 4398 MRI E52 Diagnostic_procedure:T109 T110 Diagnostic_procedure 4387 4390 TTE E53 Diagnostic_procedure:T110