Coronial
VIChospital

Finding into death of Armani El-Sayegh

Deceased

Armani El-Sayegh

Demographics

0y, female

Coroner

Coroner Jacqui Hawkins

Date of death

2019-05-18

Finding date

2019-10-31

Cause of death

Right ventricular failure secondary to pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries

AI-generated summary

Armani El-Sayegh was a seven-month-old infant who died from right ventricular failure secondary to complex congenital heart disease (pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries). She was born at 33+5 weeks with low APGAR scores and required immediate intensive support. Despite appropriate multidisciplinary care including serial cardiac imaging, medical management, and 15 cardiac surgical procedures, she developed progressive complications including sepsis, seizures, and organ dysfunction. The Coroners Prevention Unit found her medical care was appropriately managed throughout from antenatal to end-of-life stages, with no preventable factors identified. She underwent palliative care de-escalation and died peacefully with family.

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

Specialties

cardiologyneonatologyintensive caredermatologygastroenterologypaediatrics

Drugs involved

prostindiureticsantibiotics

Clinical conditions

pulmonary atresiaventricular septal defectmajor aortopulmonary collateral arteriestetralogy of fallotright ventricular failureliver failuresepsisneonatal abstinence syndromegastro-oesophageal reflux diseaselivedo reticularisseizures

Procedures

emergency caesarean sectionendotracheal intubationfoetal echocardiographyechocardiogramcomputed tomography chest scancardiac catheter studymagnetic resonance imaging braincardiac surgerycardiopulmonary bypassnasogastric tube insertion

Contributing factors

  • Complex congenital heart defect with poor prognosis
  • Complications from high-risk cardiac surgical procedures
  • Sepsis post-immunisation
  • Inability to be weaned from cardiopulmonary bypass
  • Multiple post-operative complications including infections and seizures
Full text

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