Coronial
VIChome

Finding into death of JOVO VRANJESEVIC

Deceased

JOVO VRANJESEVIC

Demographics

57y, male

Date of death

2006-12-04

Finding date

2013-05-07

Cause of death

thalamic haemorrhage with ventricular extension

AI-generated summary

A 57-year-old man with hypertension and atrial fibrillation suffered a massive thalamic haemorrhage while at home and was declared brain dead at hospital. His organs were donated to three recipients who all died within six days in early January 2007 from a novel arenavirus (LCMV-like) infection. The viral infection could not have been detected by any available screening at the time, and the deaths were neither foreseeable nor preventable. The coroner found the donor screening process was reasonable and appropriate. Key recommendations focused on improving inter-hospital communication post-transplant: DonateLife should coordinate liaison between transplant teams caring for multiple recipients from the same donor, commencing day 7 post-operatively and continuing every 48 hours. This would enable earlier identification of common complications and better family communication, though evidence suggests it would not have altered outcomes in this case.

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

Contributing factors

  • hypertension
  • atrial fibrillation

Coroner's recommendations

  1. DonateLife be authorised to extend their liaison role in the post-transplant period to accept responsibility for intra and inter-hospital communication regarding progress, unusual symptoms and complications of donor organ recipients where there are multiple recipients from one donor
  2. DonateLife commence liaison seven days post-operatively and continue with intra and inter-hospital communication every 48 hours thereafter until discharge of recipients
  3. Each hospital nominate a designated contact person for DonateLife to communicate with regarding recipient progress
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