Coronial
WAhospital

Inquest into the Death of Robert Paul RODDA

Deceased

Robert Paul RODDA

Demographics

62y, male

Date of death

2015-10-14

Cause of death

Multi-organ failure following surgical repair of ruptured abdominal aortic aneurysm

AI-generated summary

Robert Paul Rodda, a 62-year-old long-term prisoner with extensive medical comorbidities including ischaemic heart disease, COPD, and a known abdominal aortic aneurysm (AAA), presented with chest pain in September 2015. Imaging revealed his AAA had ruptured. Emergency open repair was performed, during which prolonged aortic clamping caused acute renal failure requiring permanent dialysis. Post-operatively, he developed acute pulmonary oedema, atrial fibrillation, and cardiac ischaemia. The patient voluntarily declined dialysis on 12 October 2015 and transitioned to palliative care. He died 2 days later from multi-organ failure. The coroner found the medical care provided to be appropriate and comprehensive, with no preventable deficiencies identified. The death resulted from natural causes—the combination of his severe underlying cardiac and pulmonary disease, the unavoidable complications of emergency surgery, and the patient's autonomous decision to cease life-sustaining dialysis.

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

Specialties

vascular surgerycardiologyrespiratory medicinenephrologyanaesthesiapalliative carecorrectional health

Clinical conditions

abdominal aortic aneurysmacute kidney injurymulti-organ failureischaemic heart diseasechronic obstructive pulmonary diseasebronchiectasisrheumatoid arthritis with pulmonary nodulesatrial fibrillationacute myocardial infarctionacute pulmonary oedemapneumothoraxdiverticular diseasetype II diabetes mellitusatherosclerosis

Procedures

emergency open repair of ruptured abdominal aortic aneurysmaortic clampingdialysiscolonoscopygastroscopylung biopsythoracic CT angiogram

Contributing factors

  • Severe ischaemic heart disease
  • Severe chronic pulmonary disease (COPD, bronchiectasis, rheumatoid nodules)
  • Acute renal failure secondary to prolonged aortic clamping during emergency AAA repair
  • Acute pulmonary oedema
  • Rapid atrial fibrillation with cardiac ischaemia
  • Infective exacerbation of bronchiectasis
  • Patient's voluntary withdrawal from dialysis
  • Extensive atherosclerosis and multifocal myocardial scarring
Full text

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