Coronial

42 results for CT angiography

TAShospital2025-01-21

Coroner's Finding: Connlley, Maurice Gordon

76y · Male·Extensive small bowel infarction caused by superior mesenteric artery thrombus

… delays occurred: the diagnosis should have been considered earlier given the clinical presentation; CT angiography should have been ordered sooner; and there was a 3.5-hour delay between oral and written radiology repo…

emergency medicinesurgerydiagnosticdelayanticoagulant
SAhospital2003-12-19

Coroner's Finding: HAWKE Anne Elizabeth

33y · Female·Raised intracranial pressure secondary to thrombosis of the superior sagittal, t…

… was given an incomplete clinical picture, leading to conservative management over the weekend. MRI and angiography were delayed until Tuesday 29 August. The patient died on 30 August from raised intracranial pressure s…

neurosurgeryradiologydiagnosticcommunicationoral contraceptive pill
TAScommunity2025-04-24

Coroner's Finding: de-identified FG

53y · Male·Acute myocardial infarction due to triple vessel atherosclerosis and thrombosis …

…al left ventricular wall motion indicating coronary artery disease. However, instead of urgent coronary angiography, a CTCA was ordered, which was cancelled. The patient died of acute myocardial infarction in April 2023…

cardiologygeneral practicediagnosticdelayrosuvastatin
TAShospital2021-11-29

Coroner's Finding: Helen Mary Badcock

77y · Female·haemoperitoneum and retroperitoneal haematoma secondary to Type I aortic dissect…

… of dissection) and absence of documented cardiovascular examination. Early recognition and imaging (CT angiography) with urgent cardiothoracic surgery could have been life-saving.

emergency medicinecardiothoracic surgerydiagnosticcommunication
TAShospital2024-03-27

Coroner's Finding: Leary, Kane

17y · Male·stroke (left middle cerebral artery infarction) following motorbike collision du…

Kane Mathew Leary, 17, died from a stroke (left middle cerebral artery infarction) following a motorbike collision. The critical clinical lesson involves a missed diagnosis of left internal carotid artery dissection on i…

emergency medicineneurosurgerydiagnosticcommunicationmorphine
ACThospital2025-04-09

Inquest Into The Death Of Peter Hanisch

69y · Male·thoracic aortic aneurysm with dissection

Peter Hanisch, a 69-year-old man, died from thoracic aortic aneurysm with dissection on 22 August 2021. He presented to Calvary Hospital on 19 August 2021 with sudden chest discomfort and neurological symptoms. A CT angi…

radiologyemergency medicinediagnosticsystem
TAShospital2017-11-01

Coroner's Finding: French, Steven John

57y · Male·large volume ischaemic infarct (stroke)

Stephen John French, a 57-year-old with prior stroke (2002) and myocardial infarction (2009), presented with headache, visual disturbance and gait difficulty in May 2013. Imaging at Launceston General Hospital on 30 May …

neurologyradiologydiagnosticcommunicationenoxaparin
TAShome2021-12-20

Coroner's Finding: Donohue, Tracey Lee

44y · Female·Ischemic heart disease due to complete blockage of left anterior descending coro…

A 44-year-old woman presented with acute chest pain and troponin elevation. Coronary angiography revealed only a 30% non-obstructive lesion in the left anterior descending artery. She was discharged o…

cardiologyemergency medicinediagnosticmedicationaspirin
VIChospital2014-10-01

Finding into death of Raymond John O_Brien

71y · Male·acute myocardial infarction due to coronary artery disease

…in August 2013. Initial diagnosis of non-ST elevation acute coronary syndrome was made, but he declined angiography. Following a schizophrenic relapse, he became non-compliant with cardiac medications. Despite clinical …

cardiologypsychiatryaspirin
VIChospital2022-08-29

Finding into death of Helen Welsh

63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities

Helen Welsh, 63, died from E. coli septicaemia with multiple comorbidities. She presented with respiratory symptoms and underwent bronchoscopy. On discharge day, she deteriorated with fever, altered consciousness, and hy…

cardiothoracic surgeryemergency medicinedelaydiagnosticcarbimazole
NSWhospital2025-12-08

Inquest into the death of Katrina McGrady

43y · Female·Subarachnoid haemorrhage due to a ruptured berry aneurysm

Trina McGrady, a 43-year-old Goomeroi woman, died from subarachnoid haemorrhage due to a ruptured berry aneurysm on 15 September 2020. She had been admitted to John Hunter Hospital following incidental discovery of two l…

neurosurgeryradiologycommunicationdiagnosticaspirin
SAhospital2018-12-06

Coroner's Finding: RUSSELL Michael John and GRAHAM Leslie Robert

Unknown·Michael Russell: intracranial haemorrhage complicating surgery for right cerebra…

Two patients died following stroke interventions on 18 April 2017 at the Royal Adelaide Hospital. Michael Russell (60) died from intracranial haemorrhage following vessel perforation during thrombectomy for acute coronar…

radiologyneurologycommunicationsystemticagrelor
SAhospital2013-09-30

Coroner's Finding: GIANNINI Pasquale

68y · Male·infarction of the small and large bowel due to superior mesenteric artery thromb…

A 68-year-old man with extensive systemic vascular disease presented with 10 days of nonspecific abdominal pain. Initial presentations at local hospital and GP were attributed to possible gallstones or gastritis based on…

general practiceemergency medicinediagnosticdelayaugmentin duo
QLDhospital2018-07-09

AD - Non-inquest findings

75y · Male·Multi-organ failure secondary to cardiogenic shock and anterior myocardial infar…

A 75-year-old man presented to a tertiary hospital ED with acute anterior STEMI but diagnosis was delayed by approximately 10 hours. The first hospital ECG at 6:47am showed diagnostic ST elevation but was not recognised …

emergency medicinecardiologydiagnosticcommunicationmorphine
VIChospital2014-11-17

Finding into death of Allan Phipps

76y · Male·exsanguination secondary to pulmonary aortic fistula and thoracic aorta aneurysm…

Allan Phipps was a 76-year-old man with a known thoracic aortic aneurysm and severe depression admitted to Austin Hospital in October 2012 for unstable angina and depression management. His aneurysm, discovered in March …

vascular surgerycardiologysystemdelayquetiapine
TAShospital2023-11-17

Coroner's Finding: Williams, Stewart

54y · Male·Hypoxic/ischaemic brain damage caused by blood loss and airway obstruction due t…

…continuation of the MET call at 12.17pm. Expert opinion concluded that with prompt posterior packing or angiography with arterial embolisation, the patient would likely have survived. Instead, he deteriorated into cardi…

emergency medicineoral and maxillofacial surgerydiagnosticcommunication
QLDhospital2017-10-17

SWK - Non inquest findings

78y · Female·multi-organ failure due to haemorrhage into the abdomen, pelvis and retroperiton…

78-year-old Jehovah's Witness died from multi-organ failure secondary to intra-abdominal and retroperitoneal haemorrhage following extensive anterior and posterior lumbar spinal fusion surgery. The patient had multiple c…

spinal surgeryorthopaedic surgeryproceduraldiagnosticaramine
VIChospitalPodcast2021-12-10

Finding into death of Peta Hickey

43y · Female·Multisystem organ failure and hypoxic/ischaemic encephalopathy following anaphyl…

Peta Hickey, a 43-year-old company executive with no cardiac history, died from anaphylaxis to CT coronary angiogram contrast after her employer commissioned an inappropriate screening program. The referral lacked clinic…

radiologyemergency medicinediagnosticmedicationomnipaque 350 contrast dye
NSW2025-03-25

Inquest into the death of Bernard Greenwell

84y · Male·haemoperitoneum due to ruptured abdominal aortic aneurysm

Bernard Greenwell, an 84-year-old male, died from rupture of an abdominal aortic aneurysm (AAA) while in custody at Cessnock Correctional Centre. He experienced sudden-onset severe left groin pain at 11:30am on 25 April …

emergency medicinevascular surgery
VIChospital2022-12-16

Finding into death of Arthur Peter Andrianakis

51y · Male·Hyperthermia of unknown cause in a man with cardiac hypertrophy; chronic obstruc…

Arthur Andrianakis, 51, died from hyperthermia of unknown cause with cardiac hypertrophy and COPD. He presented to hospital with respiratory distress following police custody for assaulting his mother. Initial diagnosis …

emergency medicineintensive caresalbutamol

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