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NSWhome2015-09-26

Inquest into the death of Kerryn Foale

22y · Female·ventricular fibrillation resulting from hypertrophic cardiomyopathy when her imp…

22-year-old woman with hypertrophic cardiomyopathy died from ventricular fibrillation when her implantable cardioverter defibrillator (ICD) failed to terminate the arrhythmia due to lead insulation failure caused by chro…

cardiologycardiothoracic surgerysystem
NSWhospital2015-08-17

Inquest into the death of Manjit SINGH

33y · Male·hypoxic respiratory failure following right pneumonectomy for treatment of sever…

Manjit Singh, a 33-year-old Indian 457 visa worker, died from hypoxic respiratory failure following a pneumonectomy for treatment of severe pulmonary tuberculosis. He had latent TB identified pre-arrival in India. Critic…

respiratory medicinecardiothoracic surgerydiagnosticcommunicationtuberculosis medications
VIChospital2015-04-10

Finding into death of Zoran Georgievski

40y · Male·haemopericardium complicating ascending thoracic aortic dissection

A 40-year-old man presented to the Northern Hospital ED with acute chest pain radiating to his throat, diaphoresis, and left hand tingling. Initial assessment by a junior doctor appropriately excluded cardiac ischaemia a…

emergency medicineradiologydiagnosticcommunicationmorphine
NSWhospital2014-07-11

Inquest into the death of Toni Ann PEADON

52y · Female·laceration of the superior vena cava and right atrium during defibrillator lead …

A 52-year-old woman with a history of syncope and mitral valve prolapse, who had an implanted defibrillator, underwent a percutaneous laser lead extraction procedure at Westmead Hospital to remove and replace defective l…

cardiologycardiothoracic surgerysystemdelay
VIChospital2014-06-05

Finding into death of Constandia Petzierides

74y · Female·haemothorax secondary to dissecting thoracic aorta

Mrs Petzierides, a 74-year-old woman, presented to the emergency department with sudden-onset, severe left scapular pain radiating to the jaw, occurring shortly after midnight. She was assessed by an emergency medicine r…

emergency medicinecardiologydiagnosticcommunicationwarfarin
WAprison- 20 March 2014

Inquest into the Death of Anthony Nigel AXTELL

38y · Male·Heart failure in a man with dilated cardiomyopathy and focal severe coronary art…

Anthony Axtell, a 38-year-old man with severe dilated cardiomyopathy from amphetamine use, died of heart failure while in prison custody. Initially treated successfully in 2002 with recovery to normal cardiac function by…

cardiologycardiothoracic surgerymedicationsystemamphetamine
SAhospital2013-08-19

Coroner's Finding: HUNT William Edward

62y · Male·chronic congestive cardiac failure due to severe aortic valve stenosis and incom…

William Edward Hunt, aged 62, a life-sentenced prisoner, died from chronic congestive cardiac failure due to severe aortic valve stenosis and cardiomyopathy. His severe aortic stenosis was identified in 2003, but surgica…

cardiologycardiothoracic surgerydelaycommunicationfurosemide
SAhospital2013-07-22

Coroner's Finding: SMITH Trevor John

62y · Male·extensive small cell lung cancer

Trevor John Smith, aged 62, died from extensive small cell lung cancer at Royal Adelaide Hospital on 18 March 2011. He was under Mental Health Act detention when he developed delusions and delirium during his final illne…

oncologycardiothoracic surgerysystemdelaydexamethasone
VIChospital2013-06-05

Finding into death of Lenin McLarty

68y · Male·Dilated cardiomyopathy with previous aortic valve replacement and aortic graft

A 68-year-old man with aortic valve replacement died from undiagnosed dilated cardiomyopathy, with retroperitoneal haemorrhage as a contributing factor. He developed a large perinephric haematoma (1900mL) secondary to ov…

cardiothoracic surgeryemergency medicinecommunicationsystemwarfarin
VIChospital2012-10-01

Finding into death of Trevor Ronald McDonald

43y · Male·Hypoxic brain injury secondary to haemopericardium and tamponade complicating ru…

Mr Trevor McDonald, 43-year-old male, died from hypoxic brain injury following cardiac tamponade complicating coronary angioplasty. During elective PCI at Frankston Hospital, he sustained right coronary artery perforatio…

cardiologycardiothoracic surgeryproceduralsystemdiazepam
VIChospital2012-09-26

Finding into death of Holly Bridget Marion South

0y · Female·Hypoxic-ischaemic encephalopathy arising from thrombosis in Blalock-Taussig shun…

Holly South, an 8-month-old with complex congenital heart disease requiring a Blalock-Taussig shunt, died of hypoxic-ischaemic encephalopathy from thrombosis in her shunt after presenting to hospital with vomiting and si…

cardiologycardiothoracic surgerycommunicationsystem
VIChospital2012-07-16

Finding into death of Ruben Chand

42y · Male·Hypoxic encephalopathy in the setting of recent acute myocardial infarction with…

Ruben Chand, a 42-year-old male, suffered a fatal hypoxic brain injury during emergency re-intubation in ICU. After an initially reasonable extubation decision, he deteriorated and required urgent re-intubation. The proc…

intensive careanaesthesiaproceduralcommunicationpropofol
VICcommunity2011-09-20

Finding into death of DA

42y · Male·Ischaemic heart disease due to severe triple-vessel coronary artery atherosclero…

A 42-year-old man with known severe triple-vessel coronary artery disease died from acute ischaemic heart disease while working at height. He had refused recommended coronary artery bypass graft surgery in December 2008,…

cardiologycardiothoracic surgerydiagnosticcommunicationangioprim
SAhospital2011-03-28

Coroner's Finding: ALLAN Vera

81y · Female·Severe cardiogenic shock complicating cardiac surgery

An 81-year-old woman died of severe cardiogenic shock following elective aortic valve replacement complicated by intraoperative haemodynamic instability and inadequate postoperative ICU management. The surgery involved e…

cardiothoracic surgeryanaesthesiamedicationcommunicationadrenaline
ACThospital2010-04-30

Inquest Into The Death Of Meg Malaika

39y · Female·heart failure connected to a massive pulmonary embolus as a result of deep vein …

A 39-year-old woman died from acute heart failure due to massive pulmonary embolus from deep vein thrombosis two days after laparoscopic appendicectomy. She presented to ED with abdominal pain and nausea, was diagnosed w…

emergency medicinegeneral surgerymedicationcommunicationheparin
SAhospital2008-09-19

Coroner's Finding: ALLEN Richard Grant

60y · Male·haemopericardium due to rupture of right ventricle complicating removal of cardi…

Richard Allen, a 60-year-old man with a permanent pacemaker for sick sinus syndrome, died from haemopericardium due to rupture of the right ventricle during pacemaker lead extraction on 2 November 2005. The 14mm perforat…

cardiologyanaesthesiadiagnosticdelaypropofol
QLDhospital2007-10-29

Cvitic, Nardia Annett

30y · Female·Multi-organ failure due to multiple transfusions required for post-operative ble…

Ms Cvitic, a 30-year-old woman with cervical cancer, underwent radical hysterectomy on 11 February 2002. She collapsed on 14 February with signs of hypovolaemic shock (haemoglobin 5.3 g/dL). Dr W. performed emergency lap…

oncologygeneral surgerydiagnosticmedicationheparin
QLDhospital2007-04-05

Smith, Arthur Lawrence

75y · Male·Acute cardiac failure due to mitral valve disease (surgically treated)

Arthur Lawrence Smith, 75, underwent successful mitral valve repair and coronary artery bypass grafts at TPCH on 2 August 2004 and was discharged 5 days later. On 19 August, his wife called TPCH reporting acute shortness…

cardiothoracic surgeryemergency medicinecommunicationdiagnosticadrenaline
SAhospital2006-05-19

Coroner's Finding: FALANGA Salvatore

77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…

77-year-old male died from complications of haemothorax and hypotension following drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural ta…

cardiologycardiothoracic surgerydiagnosticproceduralramipril

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