Coronial

48 results for right ventricular failure

SAmental health2016-06-09

Coroner's Finding: FALLON Peter John William

40y · Male·Unascertained; likely cardiac arrhythmia secondary to cardiomegaly and morbid ob…

…identified acute deterioration. While this poor nursing care was not directly causative, it represented a failure in basic clinical observation and human dignity that contrasted with appropriate overall psychiatric trea…

psychiatryintensive carecommunicationsystemrisperdal consta
VIChome2011-04-06

Finding into death of Mykayla Chloe Marshall

1y · Female·Pulmonary hypertension and right heart failure secondary to total anomalous pulm…

…venous drainage, pulmonary vein stenosis, and septal defects, died at home from pulmonary hypertension and right heart failure. She had undergone cardiac surgery within the first day of life and required intensive home …

cardiologypaediatrics
SAhospital2008-09-19

Coroner's Finding: ALLEN Richard Grant

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

…d 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 perforation created catastrophic b…

cardiologyanaesthesiadiagnosticdelaypropofol
VICcommunity2002-02-08

BEVERIDGE Graham

52y · Male·multiple injuries including right ventricular rupture

…lbert Park. The wheel was travelling at 145-175 km/h and caused multiple injuries including rupture of the right ventricle. The coroner found the death was avoidable, as the risk of debris and larger objects passing thr…

emergency medicineintensive caresystemdelay
WAhome2021-06-22

Inquest into the Death of Child AM (Name Subject to Suppression Order)

3y · Female·bronchopneumonia in an infant with obstructive sleep apnoea

…ood obesity (36 kg at death; normal weight 14-16 kg) with multiple cardiopulmonary complications including right heart hypertrophy, pulmonary hypertension, and sleep apnoea. She required CPAP/BiPAP support which complia…

paediatricsrespiratory medicinecommunicationsystem
TAShospital2019-10-29

Coroner's Finding: Holmes, Julie Anne

71y · Female·pneumonia following cervical spine fracture sustained in motor vehicle collision

Julie Anne Holmes, aged 71, died of pneumonia following a cervical spine fracture sustained in a motor vehicle accident that was not diagnosed during her hospital admission. Critical clinical lessons include: (1) paramed…

emergency medicinegeneral surgerydiagnosticprocedural
WAcommunity2005-05

Inquest into the Death of Adam David McKay

31y · Male·Pulmonary thromboembolism arising from deep vein thrombosis

…-haul flights to West Africa and returned on 13 December 2002. On 14 December, he presented to his GP with right leg/calf pain after flying. Despite risk factors (obesity, long-haul travel), DVT was not investigated wit…

general practiceemergency medicinediagnosticcommunication
TAShospital2023-05-05

Coroner's Finding: Pedler, Anne Helen

71y · Female·multiple pulmonary thromboemboli and deep vein thrombosis

71-year-old woman presented to ED with signs of circulatory failure (hypotension, tachycardia, tachypnoea, hypoxia) and progressive leg pain/swelling over one week. ECG show…

emergency medicinecardiologydiagnosticdelaycannabis oil
WAhospital2019-09-23

Inquest into the Death of Dylan James RILEY

16y · Male·pulmonary embolism secondary to nephrotic syndrome

…tions for PE were performed initially. When symptoms persisted, an echocardiogram revealed massive PE with right heart failure. Thrombolysis was attempted but failed. Expert opinion confirmed that PE is extremely rare i…

nephrologyintensive caredelayenoxaparin
QLD2013-09-11

Morris, David Samuel

57y · Male·Coronary atherosclerosis

…significant cardiac history including dilated cardiomyopathy, atrial fibrillation, and congestive cardiac failure, and had been recently discharged from Princess Alexandra Hospital on 16 November after treatment for dys…

cardiologyforensic medicinewarfarin
VIChospital2011-10-20

Finding into death of Andrew Westley

56y · Male·Cardiogenic shock, end stage ischemia due to chemo related cardiomyopathy, fulmi…

… organ procurement from far North Queensland. Post-operatively, he required prolonged ECMO, IABP, and biventricular assist devices but developed VRE sepsis, aspergillus infection, and multi-organ failure, dying 30 days …

cardiothoracic surgerytransplant medicinedelayvancomycin
QLDhospital2025-07-22

Inquest into the death of Hazel Mary Ritchie Brodie

79y · Female·Dilated cardiomyopathy with decompensated heart failure not appropriately treate…

A 79-year-old woman with severe COPD and heart failure presented with two weeks of nausea and vomiting. She was diagnosed with left ventricular failure (EF 33%)…

cardiologyrespiratory medicinediagnosticcommunicationfurosemide
WA2022-07-06

Inquest into the Death of Paul Stephen KEATING

60y · Male·atherosclerotic heart disease (cardiac arrhythmia secondary to severe long-stand…

…artery disease diagnosed on angiography in 2011, worsening valvular disease, and was diagnosed with heart failure in March 2020. Despite clinical staff repeatedly counselling him about lifestyle modification and medicat…

cardiologycorrectional healthamiodarone
WAhome2021-08-26

Inquest into the Death of Baby E (Name Subject to Suppression Order)

0y · Male·Complications of VATER syndrome and sacrococcygeal teratoma

…idisciplinary surgical and medical management. Following deterioration and development of end-stage renal failure with a progressively enlarging spinal tumour, a compassionate decision was made to transition to palliati…

neonatologynephrology
TAShospital2024-10-11

Coroner's Finding: Vieth, Karl Heinz

92y · Male·periprosthetic fracture of the left hip sustained from a fall from standing posi…

… his condition rapidly deteriorated. He died in palliative care on day six. The coroner found the primary failure was delayed transfer to an appropriate inpatient medical ward with specialist supervision, rather than sp…

general medicineemergency medicinesystemdelaymelatonin
QLD2010-10-18

Paterson, Gregory Clifford

56y · Male·Pulmonary thromboemboli due to deep vein thrombosis due to immobility due to hea…

…pump restart, or had safer concrete specifications and recirculation protocols been implemented. Systemic failures in hazard identification and worker communication were identified.

neurosurgeryintensive carecommunicationsystemthrombolysin
VIChospital2014-08-21

Finding into death of Neville Ross

65y · Male·Cardiac tamponade whilst undergoing CT-guided pericardiocentesis; perforation of…

A 65-year-old man with history of left pneumonectomy, COPD and cardiomyopathy died from cardiac tamponade during CT-guided pericardiocentesis. Key clinical issues: (1) Necessity of procedure was questionable—patient pres…

cardiologyradiologydiagnosticprocedural
QLDhospital2023-06-30

Booth, Yvette and Sandy, Adele and George, Shakaya (“RHD Doomadgee Cluster”)

Female·Betty: cardiac arrhythmia complicating heart failure due to consequences of past…

… through better primary health care coordination, screening, and anticoagulation management. Key systemic failures included fragmentation between Gidgee Healing (Aboriginal community-controlled health service) and Dooma…

cardiologyemergency medicinecommunicationsystempenicillin
WAhospital2022-06-08

Inquest into the Death of Salvatore Giovanni OTRANTO

68y · Male·Complications following myocardial infarction and its treatment in a man with mu…

…treatment. Admitted to hospital on 30 May 2020 with suspected NSTEMI, he developed acute-on-chronic renal failure requiring dialysis. A VasCath was inserted into the right subclavian artery instead of the vein but was p…

cardiologyintensive careproceduralenoxaparin
NThome2016-09-21

Inquest into the death of Natalie McCormack

Female·Wendy Murphy: blunt head and chest trauma. Natalie McCormack: haemorrhage follow…

Two Aboriginal women, aged 36 and 31, died following prolonged domestic violence by their partners in Alice Springs. Both had extensive histories of police-documented assaults, domestic violence orders (DVOs), and uncoop…

forensic medicineemergency medicinesystemalcohol

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