91y · Female·Gunshot wound to the head
…property maintenance challenges, and concerns about loss of independence following Mr Smith's recent heart valve replacement and hospitalization. An aged care assessment conducted on 24 July 2018 had arranged in-home su…
37y · Male·Coronary artery thrombosis resulting from coronary atherosclerosis with contribu…
Marshall Yantarrnga, a 37-year-old Aboriginal man with significant cardiac history (prior mitral valve replacement in 1996), presented with chest and right-sided pain, fever, and was assessed by ambulance offi…
83y · Female·Pulmonary thromboembolism due to aortic stenosis (recent transcatheter aortic va…
…ion, and heart failure died from pulmonary embolism one day after discharge following transcatheter aortic valve replacement (TAVI). Clinical lessons centre on communication failures: an electrophysiologist's ambiguous …
71y · Male·end-stage cardiac failure on a background of ischaemic heart disease with dilate…
…c heart disease and dilated cardiomyopathy. He had complex cardiac history including previous CABG, aortic valve replacement, and implanted ICD. During imprisonment, he developed progressive dyspnoea over several months…
36y · Male·infective endocarditis
… failure, requiring emergency hospital transfer on 30 May where endocarditis was confirmed. Despite aortic valve replacement surgery and antibiotics, he died from uncontrollable sepsis and multiple organ failure. Key cl…
74y · Male·Pericarditis post aortic valve surgery with large pericardial effusion leading t…
…-year-old man, died from pericarditis with large pericardial effusion and tamponade four days after aortic valve replacement surgery. Post-operative imaging showed a small pericardial effusion, considered routine. He wa…
12y · Female·Hypoxic ischaemic encephalopathy complicating an aortic root abscess (operated) …
A 12-year-old Aboriginal girl with a bicuspid aortic valve and autism spectrum disorder presented with a week of fever and non-specific symptoms (cough, vomiting, ab…
50y · Male·Ischaemic and valvular heart disease (severe aortic stenosis) with other signifi…
…al following multiple myocardial infarctions. He had consistently refused invasive interventions including valve replacement surgery despite medical recommendations, electing comfort care only. He experienced a further …
58y · Male·Hypertensive and valvular heart disease
…diac collapse in a prison pre-release unit. He had complex pre-existing cardiac disease including previous valve replacement and aortic surgery with severe left ventricular hypertrophy. The coroner found his medical man…
38y · Female·Combined effects of ischaemic and valvular heart disease with methamphetamine us…
…ardiac arrest at home. She had pre-existing severe ischaemic and valvular heart disease requiring multiple valve replacements and pacemakers, likely secondary to her substance use. Toxicology revealed fatal levels of me…
91y · Male·Gunshot wound to the head
Arthur Smith, 91, fatally shot his wife of 68 years before taking his own life. He had recently undergone cardiac surgery and expressed concerns about losing independence and being forced into care. The couple faced fina…
19y · Male·Rheumatic heart disease (severe aortic valve regurgitation)
…9-year-old Aboriginal male with rheumatic heart disease from childhood, died in custody from severe aortic valve regurgitation. He had required aortic valve replacement surgery since 2014. In December 2017, while impris…
75y · Male·acute right subdural haemorrhage sustained in a fall
George Triantafilopoulos, a 75-year-old man on warfarin after aortic valve replacement, suffered two head strikes within 24 hours—first falling onto concrete at a supermarket on 14 …
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 manage…
73y · Male·Haemorrhagic stroke in the setting of recent inguinal hernia surgery and change …
Paul Turner, 73-year-old with atrial fibrillation and aortic valve replacement, underwent elective bilateral inguinal hernia repair in August 2018. His cardiologist advised …
Female·Betty: cardiac arrhythmia complicating heart failure due to consequences of past…
This inquest examined three deaths of young Aboriginal women from Doomadgee (ages 18, 37, and 17) from rheumatic heart disease (RHD) complications between September 2019 and September 2020. All three deaths were preventa…
71y · Male·Combined effects of ischaemic and valvular heart disease
A 71-year-old man with chronic paranoid schizophrenia was detained under the Mental Health Act after community mental health workers observed physical signs of heart failure (dyspnea, bilateral pitting edema) during home…
73y · Male·subdural haematoma from fall
Leonard Athol Long, a 73-year-old on warfarin for mechanical mitral valve replacement, fell twice during hospitalization for urinary tract infection. He was on SMZ-TMP antibiotics,…
55y · Male·right intracerebral haemorrhage and left middle cerebral artery cerebrovascular …
…al intervention was contraindicated due to ongoing anticoagulation effects needed for his artificial heart valves. A multidisciplinary team appropriately decided on palliative care given his poor prognosis (months expec…
72y · Male·acute leukaemia on a background of ischaemic heart disease
Dennis William Gill, a 72-year-old man serving a suspended home detention sentence, died of acute leukaemia on a background of ischaemic heart disease after admission to Ashford Hospital in August 2009. He had significan…
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