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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
WAcustody2014-03-20

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
VICaged care2013-03-12

Finding into death of Jonathan Paul Tozer

48y · Male·Multiple injuries in a pedestrian struck by a bus

Jonathan Tozer, a 48-year-old man with intellectual disability and a documented history of absconding, was struck by a bus while at his day service facility. Despite close supervision by staff, he absconded from the Witt…

trauma surgerycardiothoracic surgery
SAhospital2013-02-13

Coroner's Finding: CARDASSIS Andrew Paul

42y · Male·disseminated metastatic renal cell carcinoma

A 42-year-old prisoner died from disseminated metastatic renal cell carcinoma. Renal cancer was identified by ultrasound in September 2006 and confirmed by CT scan. Surgery was performed with curative intent in December …

oncologyurologysunitinib
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

<1y · 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
VIChospital2012-04-13

Finding into death of Joel Aaron Frigo

30y · Male·Haemopericardium caused by ruptured dissecting thoracic aortic aneurysm

Joel Frigo, 30-year-old with Marfan's syndrome, presented to a regional hospital with chest pain and was diagnosed with a chest infection/pleurisy. He died from a ruptured dissecting thoracic aortic aneurysm with haemope…

emergency medicinecardiologydiagnosticcommunicationatenolol
VIChospital2012-02-20

Finding into death of Belle Bromley

1y · Female·Complex congenital heart disease (operated) and sepsis

Belle Bromley, a 13-month-old child with complex congenital heart disease (22q11 deletion syndrome causing pulmonary atresia with ventricular septal defect and major aorta-pulmonary collateral arteries), died from sepsis…

cardiologycardiothoracic surgery
NSWhospital2011-12-12

Simpsonkaneesha3718 09

5y · Female·Cardiac and respiratory arrest probably connected with embolic stroke

A 5-year-old Aboriginal child with complex congenital heart disease (DORV with asplenia and situs inversus) died of cardiac arrest from embolic stroke. She had undergone initial BT shunt surgery but required a Glenn shun…

cardiothoracic surgerypaediatricsdiagnosticcommunication
VIChospital2011-10-20

Finding into death of Andrew Westley

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

Andrew Westley, 56, underwent heart transplantation at The Alfred Hospital for dilated cardiomyopathy secondary to chemotherapy for Hodgkins lymphoma and prior cardiac surgery. The procedure involved a 9-hour ischaemic t…

cardiothoracic surgerytransplant medicinedelayvancomycin
QLDhospital2011-09-20

Anderson, John Clive

36y · Male·infective endocarditis

John Clive Anderson, a 36-year-old prisoner, died from infective endocarditis despite being evaluated 25 times by prison medical officer Dr P. between February and May 2009. Dr P. documented possible infective endocardit…

general practicecardiologydelaycommunicationamoxicillin
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
VIChospital2011-06-17

Finding into death of George Samuel Holmes

86y · Male·Cardiovascular disease in a man with subdural haemorrhage (in keeping with a fal…

George Samuel Holmes, an 85-year-old man with significant cardiovascular history (prior myocardial infarction, stroke, atrial fibrillation) on anticoagulation, collapsed in his prison cell on 4 April 2008. He sustained a…

cardiothoracic surgeryneurosurgerywarfarin
VIChome2011-04-06

Finding into death of Mykayla Chloe Marshall

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

Mykayla Marshall, a 15-month-old child with complex congenital heart disease including total anomalous pulmonary venous drainage, pulmonary vein stenosis, and septal defects, died at home from pulmonary hypertension and …

cardiologypaediatrics
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
VIChospital2010-06-10

Finding into death of Dale Graham Russ

26y · Male·Upper cervical spinal cord injury

A 26-year-old man suffered an upper cervical spinal cord injury (C2 fracture with vertebral artery dissection) after diving head-first from Brooks Jetty into shallow water on New Year's Day 2008. He was transferred to IC…

intensive careneurologymorphine

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