Deceased
Penrin John Maxworth Halliday
Demographics
60y, male
Coroner
Coroner Peter White
Date of death
2009-02-02
Finding date
2014-10-02
Cause of death
Ischaemic gut secondary to superior mesenteric artery dissection complicating intra-aortic balloon pump
AI-generated summary
A 60-year-old man with severe coronary artery disease presented with acute myocardial infarction, requiring emergency stenting and subsequent bypass surgery. An intra-aortic balloon pump (IABP) was inserted for haemodynamic support. During IABP removal on post-operative day 1, the patient developed acute abdominal pain with elevated lactate. Imaging revealed superior mesenteric artery dissection with intestinal ischaemia—a recognised but uncommon complication of IABP. Despite emergency surgery and revascularisation, the bowel was profoundly ischaemic and non-viable. The coroner found the recognition of ischaemic gut was timely, surgical referral appropriate, and the IABP use justified given haemodynamic necessity. Key lesson: IABP complications must be recognised quickly; lactate monitoring was appropriately used to identify shock. Surgical delay due to competing emergency transplants was unavoidable but unfortunate.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Clinical conditions
Procedures
74y · Male·Acute myocardial infarction complicated by multiple organ failure
Ronald William Beaumont, 74, died from acute myocardial infarction complicated by multiple organ failure following a second shoulder washout procedure. Key clinical lessons: (1) Despite inadvertent withholding of dual an…
69y · Male·Pericarditis
A 69-year-old man with a history of atrial fibrillation, chronic kidney disease, congestive cardiac failure, and Fragile X Syndrome presented to the Emergency Department with dyspnea following an unwitnessed fall. He was…
61y · Male·Intracranial haemorrhage and myocardial infarct
A 61-year-old man with extensive cardiac disease collapsed at a supermarket, striking his head and losing consciousness for less than 10 seconds. Paramedics identified STEMI and administered heparin on advice from Austin…
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.