133 results
71y · Female·aortic dissection (Stanford Type A)
A 71-year-old woman presented to hospital with pericardial effusion causing cardiac tamponade, successfully treated by pericardiocentesis. The underlying cause was a Stanford Type A aortic dissection, which was not ident…
55y · Female·Cardiac tamponade due to haemopericardium due to acute ruptured myocardial infar…
A 55-year-old woman with extensive coronary artery disease presented for elective stent placement to her left anterior descending artery. During the procedure, a small diagonal branch vessel was occluded—a recognised com…
63y · Male·severe refractory heart failure despite coronary artery bypass and repeated prol…
A 63-year-old man detained under migration law died from severe refractory biventricular heart failure despite coronary artery bypass grafting and intensive cardiovascular support. He presented with cardiomyopathy, poorl…
48y · Male·myocardial infarction due to coronary atherosclerosis (medically treated)
Garnett Mickelo, aged 48, died from myocardial infarction due to coronary atherosclerosis while in custody at Woodford Correctional Centre on 24 November 2012, shortly after discharge from Princess Alexandra Hospital fol…
62y · Male·Global cerebral ischaemia secondary to intra-operative hypotension following the…
A 62-year-old man died from global cerebral ischaemia following intra-operative hypotension after protamine administration during a cardiac ablation procedure. He had suffered a severe hypotensive reaction to protamine 8…
59y · Female·acute cardiogenic shock, with acute mechanical obstruction of a remote mechanica…
Ida Romeo, 59, died during cardiac catheterisation at Liverpool Hospital when a pressure wire became trapped in her mechanical aortic valve. She had consented to a right heart study to investigate suspected constrictive …
4y · Female·Haemorrhage due to aorto-oesophageal fistula caused by ingestion of a button bat…
A 4-year-old girl died from aorto-oesophageal fistula and haemorrhage caused by a lithium button battery lodged in her oesophagus for at least 3 days. Critical diagnostic failures occurred: the initial GP failed to consi…
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…
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…
62y · Male·fatal cardiac arrhythmia secondary to end-stage ischaemic cardiomyopathy
A 62-year-old prisoner with severe ischaemic heart disease, diabetes, and cardiomyopathy died from a fatal cardiac arrhythmia in hospital. He had extensive cardiac history including pacemaker insertion, coronary stents, …
55y · Male·ruptured dissection of the thoracic aorta
Tien Chung Nguyen, a 55-year-old male prisoner, died from rupture of a thoracic aortic dissection during emergency surgery at Royal Perth Hospital. He presented with chest pain and dyspnoea at Wooroloo Prison on 26 Novem…
43y · Male·acute right heart failure (cor pulmonale) complicating foreign body (microcrysta…
A 43-year-old male died from acute right heart failure (cor pulmonale) caused by pulmonary granulomas resulting from intravenous injection of crushed methylphenidate (Ritalin) tablets. The microcrystalline cellulose bind…
71y · Female·cardiac tamponade due to ascending aortic dissection
A 71-year-old woman presented to the ED with sudden-onset epigastric pain requiring morphine. Despite clinical features concerning for acute aortic dissection (severe stabbing chest pain radiating to back, relieved by le…
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…
56y · Male·Complications of intravenous drug use
Ross James Davis, aged 56, died from complications of intravenous opioid use. He had severe chronic obstructive pulmonary disease exacerbated by heavy smoking, chronic pain, and opioid addiction. Despite two prior presen…
20y · Male·stab injury to the back
A 20-year-old male died from exsanguination due to a stab wound to the back sustained during an organised group fight. The injury penetrated the lung and involved medium calibre pulmonary vessels. Despite immediate emerg…
60y · Male·Ischaemic gut secondary to superior mesenteric artery dissection complicating in…
A 60-year-old man with severe coronary artery disease presented with acute myocardial infarction, requiring emergency stenting and subsequent bypass surgery. An intra-aortic balloon pump (IABP) was inserted for haemodyna…
46y · Female·hemopericardium secondary to dissection of the thoracic aorta
Iman Kassis, a 46-year-old woman with Ehlers-Danlos Syndrome Type 4 and known severe aortic regurgitation with dilated ascending aorta, presented to the ED on 8 October 2008 with sudden-onset severe throat pain, bradycar…
68y · Female·Haemorrhage secondary to right subclavian artery lacerations sustained during ce…
A 68-year-old woman died from massive blood loss following inadvertent puncture of the right subclavian artery during central venous line insertion. The anaesthetist used anatomical landmarks without ultrasound after an …
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…
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