Deceased
Fiona Lebner
Demographics
57y, female
Coroner
Deputy State Coroner Paresa Spanos
Date of death
2020-02-26
Finding date
2022-10-05
Cause of death
Combined features of moderately stenosed right coronary ostium, aortic valve regurgitation with dilated aortic root, mitral valve prolapse and mitral valve regurgitation, dilated cardiomegaly clinical and heart failure
AI-generated summary
Fiona Lebner, a 57-year-old woman with severe intellectual disability living in a group home, died suddenly from acute cardiac arrhythmia secondary to multiple heart abnormalities including aortic valve disease, mitral valve disease, coronary artery stenosis, and cardiomegaly. She also had known aortic dissection and abdominal aortic aneurysm. Her death was from natural causes and occurred overnight in her bedroom. The Disability Services Commissioner investigation identified opportunities for service improvement including standardised hospital discharge planning and enhanced staff awareness of life-limiting conditions, but made no adverse findings against the care provider. The coroner noted concern about legislative gaps in coronial jurisdiction as disability services funding transitions from state to NDIS schemes.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Drugs involved
Clinical conditions
Procedures
47y · Male·Acute myocardial infarction due to thrombotic occlusion of the right coronary ar…
Nick Panagiotopoulos, a 47-year-old man, suffered a fatal acute myocardial infarction (heart attack) on 16 October 2021 at home in Preston, Victoria. His family made five calls to Triple Zero (000) requesting emergency a…
76y · Male·Effects of fire due to home oxygen ignition in the setting of smoking; lung canc…
A 76-year-old man with lung cancer and mesothelioma died from thermal injuries sustained when his home oxygen ignited while smoking. He had been discharged on self-funded home oxygen despite a recent smoking history, aft…
30y · Female·Hypoxic ischaemic encephalopathy complicating cardiac arrest of unknown aetiolog…
Heather Calgaret, a 30-year-old Aboriginal woman, died from hypoxic ischaemic encephalopathy after being administered a first dose of buprenorphine (Buvidal) injection without prior stabilisation on sublingual Suboxone. …
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