--- a +++ b/processing/MACCROBAT/21720478.ann @@ -0,0 +1,436 @@ +T1 Age 20 31 77-year-old +T2 Sex 32 35 man +T3 Date 3 16 February 2010 +E1 Date:T3 +T4 Disease_disorder 54 60 stroke +E2 Disease_disorder:T4 +T5 Disease_disorder 65 92 peripheral vascular disease +E3 Disease_disorder:T5 +T6 History 54 60 stroke +T7 History 65 92 peripheral vascular disease +T8 Clinical_event 93 102 presented +E4 Clinical_event:T8 +T9 Nonbiological_location 110 130 emergency department +R1 MODIFY Arg1:T9 Arg2:E4 +T10 Disease_disorder 141 156 pulmonary edema +E5 Disease_disorder:T10 +T11 Detailed_description 134 140 florid +R2 MODIFY Arg1:T11 Arg2:E5 +T12 History 186 215 worsening dyspnea on exertion +T13 Duration 167 182 6-month history +E6 Duration:T13 +T14 Sign_symptom 196 203 dyspnea +E7 Sign_symptom:T14 +T15 Activity 207 215 exertion +E8 Activity:T15 +A1 TREND E7 INC +R3 CAUSE Arg1:E8 Arg2:E7 +T16 Sign_symptom 238 245 dyspnea +E9 Sign_symptom:T16 +T17 Detailed_description 228 237 nocturnal +T18 Detailed_description 217 227 paroxysmal +R4 MODIFY Arg1:T17 Arg2:E9 +R5 MODIFY Arg1:T18 Arg2:E9 +T19 Sign_symptom 255 260 edema +E10 Sign_symptom:T19 +T20 Biological_structure 251 254 leg +R6 MODIFY Arg1:T20 Arg2:E10 +T21 History 217 245 paroxysmal nocturnal dyspnea +T22 History 251 260 leg edema +T23 Diagnostic_procedure 267 287 physical examination +E11 Diagnostic_procedure:T23 +T24 Sign_symptom 304 309 rales +E12 Sign_symptom:T24 +T25 Sign_symptom 316 341 murmur of aortic stenosis +E13 Sign_symptom:T25 +T26 Detailed_description 296 303 diffuse +R7 MODIFY Arg1:T26 Arg2:E12 +T27 Diagnostic_procedure 381 395 echocardiogram +E14 Diagnostic_procedure:T27 +T28 Biological_structure 367 380 transthoracic +R8 MODIFY Arg1:T28 Arg2:E14 +T29 Detailed_description 345 366 2-dimensional Doppler +R9 MODIFY Arg1:T29 Arg2:E14 +T30 Disease_disorder 412 433 aortic valve stenosis +E15 Disease_disorder:T30 +T31 Severity 405 411 severe +R10 MODIFY Arg1:T31 Arg2:E15 +T32 Diagnostic_procedure 441 454 peak gradient +E16 Diagnostic_procedure:T32 +T33 Lab_value 458 465 70 mmHg +E17 Lab_value:T33 +R11 MODIFY Arg1:E17 Arg2:E16 +T34 Diagnostic_procedure 472 485 mean gradient +E18 Diagnostic_procedure:T34 +T35 Lab_value 489 496 45 mmHg +E19 Lab_value:T35 +R12 MODIFY Arg1:E19 Arg2:E18 +T36 Diagnostic_procedure 500 528 calculated aortic valve area +E20 Diagnostic_procedure:T36 +T37 Lab_value 532 539 0.7 cm2 +E21 Lab_value:T37 +R13 MODIFY Arg1:E21 Arg2:E20 +T38 Disease_disorder 548 568 mitral regurgitation +E22 Disease_disorder:T38 +T39 Severity 541 547 severe +R14 MODIFY Arg1:T39 Arg2:E22 +T40 Sign_symptom 585 592 dilated +E23 Sign_symptom:T40 +T41 Severity 576 584 severely +R15 MODIFY Arg1:T41 Arg2:E23 +T42 Biological_structure 593 607 left ventricle +R16 MODIFY Arg1:T42 Arg2:E23 +T43 Biological_structure 609 611 LV +R17 IDENTICAL Arg1:T43 Arg2:T42 +T44 Diagnostic_procedure 621 638 ejection fraction +E24 Diagnostic_procedure:T44 +T45 Lab_value 642 646 0.20 +E25 Lab_value:T45 +R18 MODIFY Arg1:E25 Arg2:E24 +T46 Disease_disorder 658 673 pulmonary edema +E26 Disease_disorder:T46 +A2 POLARITY E26 NEG +T47 Diagnostic_procedure 688 711 cardiac catheterization +E27 Diagnostic_procedure:T47 +T48 Coreference 726 752 echocardiographic findings +E28 Coreference:T48 +R19 SUB_PROCEDURE Arg1:E28 Arg2:E14 +R20 SUB_PROCEDURE Arg1:E16 Arg2:E14 +R21 SUB_PROCEDURE Arg1:E18 Arg2:E14 +R22 SUB_PROCEDURE Arg1:E20 Arg2:E14 +T49 Disease_disorder 779 802 coronary artery disease +E29 Disease_disorder:T49 +T50 Detailed_description 764 778 nonobstructive +R23 MODIFY Arg1:T50 Arg2:E29 +T51 Therapeutic_procedure 893 910 surgical approach +E30 Therapeutic_procedure:T51 +T52 Detailed_description 874 892 minimally invasive +R24 MODIFY Arg1:T52 Arg2:E30 +T53 Therapeutic_procedure 942 957 supine position +E31 Therapeutic_procedure:T53 +T54 Medication 972 982 anesthetic +E32 Medication:T54 +T55 Therapeutic_procedure 997 1007 intubation +E33 Therapeutic_procedure:T55 +T56 Detailed_description 1015 1045 single-lumen endotracheal tube +R25 MODIFY Arg1:T56 Arg2:E33 +T57 Detailed_description 1052 1069 bronchial blocker +R26 MODIFY Arg1:T57 Arg2:E33 +T58 Diagnostic_procedure 1086 1118 transesophageal echocardiography +E34 Diagnostic_procedure:T58 +T59 Diagnostic_procedure 1120 1123 TEE +E35 Diagnostic_procedure:T59 +R27 IDENTICAL Arg1:E35 Arg2:E34 +T60 Disease_disorder 1215 1234 significant disease +E36 Disease_disorder:T60 +A3 POLARITY E36 NEG +T61 Biological_structure 1180 1201 mitral valve leaflets +R28 MODIFY Arg1:T61 Arg2:E36 +T62 Disease_disorder 1248 1268 mitral regurgitation +E37 Disease_disorder:T62 +T63 Biological_structure 1308 1320 mitral valve +T64 Biological_structure 1287 1300 A2–P2 portion +R29 MODIFY Arg1:T64 Arg2:T63 +R30 MODIFY Arg1:T63 Arg2:E37 +T65 Disease_disorder 1334 1354 mitral regurgitation +E38 Disease_disorder:T65 +T66 Detailed_description 1373 1383 functional +R31 MODIFY Arg1:T66 Arg2:E38 +T67 Sign_symptom 1395 1418 mitral annular dilation +E39 Sign_symptom:T67 +T68 Sign_symptom 1423 1432 tethering +E40 Sign_symptom:T68 +T69 Biological_structure 1440 1457 papillary muscles +R32 MODIFY Arg1:T69 Arg2:E40 +T70 Sign_symptom 1474 1481 dilated +E41 Sign_symptom:T70 +T71 Severity 1465 1473 severely +R33 MODIFY Arg1:T71 Arg2:E41 +T72 Biological_structure 1482 1484 LV +R34 MODIFY Arg1:T72 Arg2:E41 +R35 CAUSE Arg1:E41 Arg2:E40 +R36 CAUSE Arg1:E40 Arg2:E38 +R37 CAUSE Arg1:E39 Arg2:E38 +T73 Therapeutic_procedure 1521 1527 repair +E42 Therapeutic_procedure:T73 +T74 Biological_structure 1535 1547 mitral valve +R38 MODIFY Arg1:T74 Arg2:E42 +T75 Detailed_description 1555 1575 transaortic approach +R39 MODIFY Arg1:T75 Arg2:E42 +T76 Therapeutic_procedure 1618 1640 cardiopulmonary bypass +E43 Therapeutic_procedure:T76 +T77 Therapeutic_procedure 1579 1595 femoral platform +E44 Therapeutic_procedure:T77 +R40 SUB_PROCEDURE Arg1:E44 Arg2:E43 +T78 Therapeutic_procedure 1655 1663 incision +E45 Therapeutic_procedure:T78 +T79 Distance 1644 1654 2- to 3-cm +R41 MODIFY Arg1:T79 Arg2:E45 +T80 Biological_structure 1680 1700 left inguinal crease +R42 MODIFY Arg1:T80 Arg2:E45 +T81 Therapeutic_procedure 1729 1735 suture +E46 Therapeutic_procedure:T81 +T82 Detailed_description 1704 1728 5–0 Prolene purse-string +R43 MODIFY Arg1:T82 Arg2:E46 +T84 Detailed_description 1737 1794 Ethicon Inc., a Johnson & Johnson company; Somerville, NJ +R45 MODIFY Arg1:T84 Arg2:E46 +T85 Biological_structure 1814 1837 femoral artery and vein +R46 MODIFY Arg1:T85 Arg2:E46 +T86 Therapeutic_procedure 1867 1877 cannulated +E47 Therapeutic_procedure:T86 +T87 Biological_structure 1843 1862 left femoral artery +R47 MODIFY Arg1:T87 Arg2:E47 +T88 Detailed_description 1885 1909 16F–18F arterial cannula +R48 MODIFY Arg1:T88 Arg2:E47 +T89 Therapeutic_procedure 1937 1947 cannulated +E48 Therapeutic_procedure:T89 +T90 Biological_structure 1915 1932 left femoral vein +R49 MODIFY Arg1:T90 Arg2:E48 +T91 Detailed_description 1996 2030 Medtronic, Inc.; Minneapolis, Minn +R50 MODIFY Arg1:T91 Arg2:E48 +T92 Detailed_description 1955 1994 25F Bio-Medicus® femoral venous cannula +R51 MODIFY Arg1:T92 Arg2:E48 +T83 Biological_structure 2057 2075 superior vena cava +R44 MODIFY Arg1:T83 Arg2:E48 +T93 Diagnostic_procedure 2092 2095 TEE +E49 Diagnostic_procedure:T93 +T94 Therapeutic_procedure 2146 2154 incision +E50 Therapeutic_procedure:T94 +T95 Detailed_description 2123 2145 transverse parasternal +R52 MODIFY Arg1:T95 Arg2:E50 +T96 Distance 2112 2122 4- to 5-cm +R53 MODIFY Arg1:T96 Arg2:E50 +T97 Biological_structure 2164 2185 3rd intercostal space +R54 MODIFY Arg1:T97 Arg2:E50 +T98 Biological_structure 2205 2232 4th costochondral cartilage +R55 MODIFY Arg1:T98 Arg2:E50 +T99 Therapeutic_procedure 2252 2260 exposure +E51 Therapeutic_procedure:T99 +R56 SUB_PROCEDURE Arg1:E50 Arg2:E51 +T100 Biological_structure 2268 2273 aorta +R57 MODIFY Arg1:T100 Arg2:E51 +T101 Therapeutic_procedure 2378 2384 opened +E52 Therapeutic_procedure:T101 +T102 Biological_structure 2362 2373 pericardium +R58 MODIFY Arg1:T102 Arg2:E52 +T103 Biological_structure 2385 2408 above the phrenic nerve +T104 Biological_structure 2413 2427 over the aorta +T105 Therapeutic_procedure 2442 2450 exposure +E53 Therapeutic_procedure:T105 +R59 SUB_PROCEDURE Arg1:E52 Arg2:E53 +R60 MODIFY Arg1:T103 Arg2:E52 +R61 MODIFY Arg1:T104 Arg2:E52 +T106 Therapeutic_procedure 2480 2488 catheter +E54 Therapeutic_procedure:T106 +T107 Biological_structure 2465 2479 coronary sinus +R62 MODIFY Arg1:T107 Arg2:E54 +T108 Detailed_description 2454 2464 retrograde +R63 MODIFY Arg1:T108 Arg2:E54 +T109 Therapeutic_procedure 2523 2531 incision +E55 Therapeutic_procedure:T109 +T110 Therapeutic_procedure 2552 2558 suture +E56 Therapeutic_procedure:T110 +T111 Detailed_description 2539 2551 purse-string +R64 MODIFY Arg1:T111 Arg2:E56 +T112 Biological_structure 2577 2589 right atrium +R65 MODIFY Arg1:T112 Arg2:E56 +T113 Therapeutic_procedure 2596 2600 vent +E57 Therapeutic_procedure:T113 +T114 Therapeutic_procedure 2633 2639 suture +E58 Therapeutic_procedure:T114 +T115 Detailed_description 2620 2632 purse-string +R66 MODIFY Arg1:T115 Arg2:E58 +T116 Biological_structure 2593 2595 LV +R67 MODIFY Arg1:T116 Arg2:E57 +T117 Biological_structure 2647 2676 right superior pulmonary vein +R68 MODIFY Arg1:T117 Arg2:E58 +T118 Therapeutic_procedure 2691 2700 aortotomy +E59 Therapeutic_procedure:T118 +T119 Detailed_description 2680 2690 transverse +R69 MODIFY Arg1:T119 Arg2:E59 +T120 Therapeutic_procedure 2718 2724 expose +E60 Therapeutic_procedure:T120 +R70 SUB_PROCEDURE Arg1:E59 Arg2:E60 +T121 Biological_structure 2729 2741 aortic valve +R71 MODIFY Arg1:T121 Arg2:E60 +T122 Therapeutic_procedure 2753 2760 removed +E61 Therapeutic_procedure:T122 +T123 Diagnostic_procedure 2767 2780 direct vision +E62 Diagnostic_procedure:T123 +R72 MODIFY Arg1:T121 Arg2:E61 +T124 Sign_symptom 3944 3956 asymptomatic +E63 Sign_symptom:T124 +T125 Diagnostic_procedure 3962 3978 echocardiography +E64 Diagnostic_procedure:T125 +T126 Clinical_event 3901 3910 follow-up +E65 Clinical_event:T126 +T127 Date 3925 3935 March 2011 +E66 Date:T127 +T128 Disease_disorder 3995 4015 mitral regurgitation +E67 Disease_disorder:T128 +T129 Lab_value 3986 3994 grade 1+ +E68 Lab_value:T129 +R73 MODIFY Arg1:E68 Arg2:E67 +T130 Sign_symptom 3802 3821 shortness of breath +E69 Sign_symptom:T130 +A4 POLARITY E69 NEG +T131 Sign_symptom 3788 3796 did well +E70 Sign_symptom:T131 +T132 Clinical_event 3843 3853 discharged +E71 Clinical_event:T132 +T133 Nonbiological_location 3863 3871 hospital +R74 MODIFY Arg1:T133 Arg2:E71 +T134 Date 3875 3894 postoperative day 6 +E72 Date:T134 +T135 Diagnostic_procedure 2830 2840 identified +E73 Diagnostic_procedure:T135 +T136 Biological_structure 2812 2824 mitral valve +T137 Biological_structure 2786 2804 A2 and P2 segments +R75 MODIFY Arg1:T137 Arg2:T136 +R76 MODIFY Arg1:T136 Arg2:E73 +T138 Therapeutic_procedure 2862 2868 repair +E74 Therapeutic_procedure:T138 +T139 Detailed_description 2849 2861 edge-to-edge +R77 MODIFY Arg1:T139 Arg2:E74 +T140 Detailed_description 1508 1520 edge-to-edge +R78 MODIFY Arg1:T140 Arg2:E42 +T141 Therapeutic_procedure 2913 2919 suture +E75 Therapeutic_procedure:T141 +T142 Detailed_description 2892 2912 5–0 Prolene mattress +R79 MODIFY Arg1:T142 Arg2:E75 +T143 Detailed_description 2929 2965 reinforced with pericardial pledgets +R80 MODIFY Arg1:T143 Arg2:E75 +T144 Biological_structure 2997 3009 mitral valve +R81 MODIFY Arg1:T144 Arg2:E75 +T145 Biological_structure 2973 2989 ventricular side +R82 MODIFY Arg1:T145 Arg2:T144 +R83 SUB_PROCEDURE Arg1:E75 Arg2:E74 +T146 Therapeutic_procedure 3045 3071 bioprosthetic aortic valve +E76 Therapeutic_procedure:T146 +T147 Detailed_description 3073 3082 Medtronic +R84 MODIFY Arg1:T147 Arg2:E76 +T148 Detailed_description 3027 3044 27-mm Hancock® II +R85 MODIFY Arg1:T148 Arg2:E76 +T149 Detailed_description 3108 3127 standard techniques +R86 MODIFY Arg1:T149 Arg2:E78 +T150 Therapeutic_procedure 3133 3142 aortotomy +E77 Therapeutic_procedure:T150 +T151 Therapeutic_procedure 3088 3097 implanted +E78 Therapeutic_procedure:T151 +R87 SUB_PROCEDURE Arg1:E78 Arg2:E76 +T152 Therapeutic_procedure 3147 3153 closed +E79 Therapeutic_procedure:T152 +R88 SUB_PROCEDURE Arg1:E79 Arg2:E77 +T153 Detailed_description 3157 3172 2-layer fashion +R89 MODIFY Arg1:T153 Arg2:E79 +T154 Therapeutic_procedure 3206 3228 cardiopulmonary bypass +E80 Therapeutic_procedure:T154 +A5 POLARITY E80 NEG +T155 Therapeutic_procedure 3253 3263 reattached +E81 Therapeutic_procedure:T155 +T156 Biological_structure 3245 3248 rib +R90 MODIFY Arg1:T156 Arg2:E81 +T157 Biological_structure 3271 3278 sternum +R91 MODIFY Arg1:T157 Arg2:E81 +T158 Detailed_description 3286 3302 1-cm metal plate +T159 Detailed_description 3304 3335 Synthes, Inc.; West Chester, Pa +R92 MODIFY Arg1:T158 Arg2:E81 +R93 MODIFY Arg1:T159 Arg2:E81 +T160 Therapeutic_procedure 3442 3453 thoracotomy +E82 Therapeutic_procedure:T160 +T161 Therapeutic_procedure 3458 3464 closed +E83 Therapeutic_procedure:T161 +R94 SUB_PROCEDURE Arg1:E83 Arg2:E82 +T162 Detailed_description 3468 3483 routine fashion +R95 MODIFY Arg1:T162 Arg2:E83 +T163 Therapeutic_procedure 3359 3365 placed +E84 Therapeutic_procedure:T163 +T164 Detailed_description 3344 3354 fiber wire +R96 MODIFY Arg1:T164 Arg2:E84 +R97 SUB_PROCEDURE Arg1:E84 Arg2:E81 +T165 Detailed_description 3369 3385 figure-8 fashion +R98 MODIFY Arg1:T165 Arg2:E84 +T166 Therapeutic_procedure 3411 3415 left +E85 Therapeutic_procedure:T166 +T167 Biological_structure 3423 3436 pleural space +R99 MODIFY Arg1:T167 Arg2:E85 +T168 Detailed_description 3396 3406 chest tube +R100 MODIFY Arg1:T168 Arg2:E85 +T169 Quantitative_concept 3389 3395 single +R101 MODIFY Arg1:T169 Arg2:T168 +T170 Disease_disorder 3513 3533 mitral regurgitation +E86 Disease_disorder:T170 +A6 POLARITY E86 NEG +T171 Diagnostic_procedure 3499 3502 TEE +E87 Diagnostic_procedure:T171 +T172 Therapeutic_procedure 3767 3774 surgery +E88 Therapeutic_procedure:T172 +T173 Therapeutic_procedure 3745 3751 repair +E89 Therapeutic_procedure:T173 +T174 Detailed_description 3732 3744 edge-to-edge +R102 MODIFY Arg1:T174 Arg2:E89 +T175 Sign_symptom 3681 3695 double-orifice +E90 Sign_symptom:T175 +T176 Biological_structure 3696 3708 mitral valve +R103 MODIFY Arg1:T176 Arg2:E90 +T177 Sign_symptom 3544 3552 elbowing +E91 Sign_symptom:T177 +T178 Biological_structure 3561 3577 anterior leaflet +R104 MODIFY Arg1:T178 Arg2:E91 +T179 Sign_symptom 3605 3614 tethering +E92 Sign_symptom:T179 +T180 Biological_structure 3622 3638 anterior leaflet +T181 Biological_structure 3646 3663 posterior leaflet +R105 CAUSE Arg1:E89 Arg2:E90 +R106 MODIFY Arg1:T181 Arg2:E92 +R107 MODIFY Arg1:T180 Arg2:E92 +R108 CAUSE Arg1:E92 Arg2:E91 +R109 AFTER Arg1:E1 Arg2:E2 +* OVERLAP E2 E3 +R110 BEFORE Arg1:E3 Arg2:E4 +* OVERLAP E4 E5 +R111 AFTER Arg1:E5 Arg2:E6 +* OVERLAP E6 E7 E8 E9 E10 +R112 BEFORE Arg1:E10 Arg2:E11 +* OVERLAP E11 E12 E13 E14 E15 E22 E23 E24 +R113 BEFORE Arg1:E24 Arg2:E26 +R114 BEFORE Arg1:E26 Arg2:E27 +* OVERLAP E27 E28 E29 +R115 BEFORE Arg1:E29 Arg2:E30 +R116 SUB_PROCEDURE Arg1:E31 Arg2:E30 +R117 SUB_PROCEDURE Arg1:E33 Arg2:E30 +R118 SUB_PROCEDURE Arg1:E32 Arg2:E30 +* OVERLAP E30 E34 E36 E37 E38 E39 E40 E41 E42 +R119 SUB_PROCEDURE Arg1:E44 Arg2:E42 +R120 SUB_PROCEDURE Arg1:E45 Arg2:E42 +R121 SUB_PROCEDURE Arg1:E46 Arg2:E42 +R122 SUB_PROCEDURE Arg1:E47 Arg2:E42 +R123 SUB_PROCEDURE Arg1:E48 Arg2:E42 +R124 SUB_PROCEDURE Arg1:E51 Arg2:E42 +R125 SUB_PROCEDURE Arg1:E53 Arg2:E42 +R126 SUB_PROCEDURE Arg1:E55 Arg2:E54 +R127 SUB_PROCEDURE Arg1:E54 Arg2:E42 +R128 SUB_PROCEDURE Arg1:E56 Arg2:E42 +R129 SUB_PROCEDURE Arg1:E57 Arg2:E42 +R130 SUB_PROCEDURE Arg1:E58 Arg2:E42 +R131 SUB_PROCEDURE Arg1:E60 Arg2:E42 +R132 SUB_PROCEDURE Arg1:E61 Arg2:E42 +R133 SUB_PROCEDURE Arg1:E49 Arg2:E42 +R134 SUB_PROCEDURE Arg1:E62 Arg2:E61 +R135 SUB_PROCEDURE Arg1:E73 Arg2:E42 +R136 IDENTICAL Arg1:E74 Arg2:E42 +R137 BEFORE Arg1:E42 Arg2:E76 +* OVERLAP E76 E77 +R138 BEFORE Arg1:E77 Arg2:E80 +R139 BEFORE Arg1:E80 Arg2:E81 +* OVERLAP E81 E85 +R140 AFTER Arg1:E85 Arg2:E82 +R141 BEFORE Arg1:E82 Arg2:E87 +* OVERLAP E87 E86 E91 E90 +R142 AFTER Arg1:E90 Arg2:E88 +R143 BEFORE Arg1:E88 Arg2:E70 +* OVERLAP E70 E69 +R144 BEFORE Arg1:E69 Arg2:E71 +* OVERLAP E71 E72 +R145 BEFORE Arg1:E72 Arg2:E65 +* OVERLAP E65 E66 E63 E64 E67