Coronial
SAhospital

Coroner's Finding: Shore Wayne John

Deceased

Wayne John Shore

Demographics

55y, male

Date of death

2020-05-08

Finding date

2022-12-22

Cause of death

right intracerebral haemorrhage and left middle cerebral artery cerebrovascular accident on a background of infective endocarditis, end stage renal failure, multiple myeloma and ischaemic and valvular heart disease

AI-generated summary

Wayne Shore, 55, died from right intracerebral haemorrhage and left middle cerebral artery stroke complicating infective endocarditis, end-stage renal failure, and multiple myeloma. He was subject to a Level 1 Inpatient Treatment Order under the Mental Health Act following a devastating left MCA stroke that caused cognitive impairment and suicidal ideation. On day 6 of admission, he developed a right temporal intracerebral haemorrhage, likely from a mycotic aneurysm secondary to his endocarditis. Neurosurgical intervention was contraindicated due to ongoing anticoagulation effects needed for his artificial heart valves. A multidisciplinary team appropriately decided on palliative care given his poor prognosis (months expected survival) and devastating bilateral strokes with negligible neurological recovery prospects. The coroner found his care was appropriate and of high standard, with valid mental health orders.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

neurologynephrologyhaematologyneurosurgerycardiologyintensive carepsychiatry

Drugs involved

anticoagulant therapyantibioticschemotherapy

Clinical conditions

infective endocarditisend-stage renal failuremultiple myelomaischaemic heart diseasevalvular heart diseaseleft middle cerebral artery ischaemic strokeright intracerebral haemorrhagemycotic aneurysmsuicidal ideationseptic shockstaphylococcus aureus septicaemia

Procedures

aortic and mitral valve replacementendovascular procedure for clot removalcentral line insertion to internal jugular veinCT brain scanhaemodialysis

Contributing factors

  • infective endocarditis of artificial mitral valve
  • end-stage renal failure requiring haemodialysis
  • multiple myeloma
  • anticoagulation therapy required for artificial heart valves
  • mycotic or infected aneurysm in brain secondary to endocarditis
  • previous left middle cerebral artery ischaemic stroke
  • suicidal ideation and cognitive impairment post-stroke
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.