Demographics
71y, female
Coroner
Coroner Katherine Lorenz
Date of death
2018-09-23
Finding date
2022-01-07
Cause of death
Complications post aortic endarterectomy
AI-generated summary
A 71-year-old woman died from complications following elective aortic endarterectomy for leg claudication. Post-operatively, she developed acute bilateral lower limb ischaemia with absent pulses, pale/mottled skin, and severely prolonged capillary refill. The ICU registrar contacted the operating surgeon at 9pm, but no in-person vascular review occurred that evening. Surgery was delayed until afternoon the next day (approximately 19 hours later). Expert opinion indicated urgent overnight review and earlier re-operation would have been appropriate and could have reduced reperfusion injury and improved survival prospects. The delay in reassessment and re-operation reduced the patient's chances of survival, though it cannot be definitively stated this would have prevented death.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
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