22 results for “acute aortic syndrome”
41y · Male·multi-organ failure and staphylococcal septicaemia following pulmonary and aorti…
A 41-year-old man with a pre-existing aortic valve abnormality developed staphylococcal septicaemia, likely initiated by Q fever exposure at his abatto…
71y · Female·Complications post aortic endarterectomy
A 71-year-old woman died from complications following elective aortic endarterectomy for leg claudication. Post-operatively, she developed acute bilateral lower limb ischaemia …
81y · Female·Cardiac tamponade secondary to dissection of ascending aorta
…udden-onset central chest pain radiating to the jaw. Despite appropriate initial assessment and ruling out acute coronary syndrome via troponin and ECG, she was discharged with undiagnosed chest pain after a 'chest pain…
85y · Male·Advanced atherosclerotic coronary artery and peripheral vascular disease complic…
…an with ischaemic heart disease, COPD, and diabetes underwent endovascular repair of a recurrent abdominal aortic aneurysm with endoleak using a novel chimney technique with Nellix endobags. The procedure was appropriate…
Female·haemopericardium due to aortic dissection (all three cases)
Three elderly women died from acute aortic dissection at Queen Elizabeth Hospital, South Australia. Beverley Coats (73) presented three times …
47y · Male·pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm …
Salvatore Accardo, a 47-year-old with previously diagnosed Marfan syndrome, died from pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm. He presented …
57y · Female·Haemothorax following acute thoracic aortic dissection in a woman with congenita…
Sally Hopwood, 57, with Turner syndrome, coarctation of the aorta, and bicuspid aortic valve, presented to ED on 23 March 2012 with severe acute …
71y · Female·cardiac tamponade due to ascending aortic dissection
…d 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 leaning forward, systolic eje…
57y · Female·Haemopericardium complicating ascending thoracic aortic dissection
…r normal troponin serial testing. She died five days later from haemopericardium due to ascending thoracic aortic dissection. Multiple red flags for aortic dissection were documented but not recognised. The coroner found…
51y · Male·Pericardial tamponade complicating Type I aortic dissection in the setting of lo…
… Hospital Emergency Department on 20 March 2015 with sudden onset chest pain. Initial assessment suspected acute coronary syndrome with elevated troponin. Over 36 hours he experienced multiple warning signs: unwitnessed…
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 …
82y · Male·bronchopneumonia
…mitted to hospital only after police involvement was threatened. During admission, he developed urosepsis, acute renal impairment, and complications from a superficial stab wound sustained at home. He deteriorated progr…
58y · Male·Hypertensive and valvular heart disease
…son 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 management in prison was a…
71y · Male·End-stage chronic obstructive pulmonary disease and atherosclerotic heart diseas…
Colin Albert Winter, a 71-year-old prisoner who died from end-stage COPD and atherosclerotic heart disease, received comprehensive medical care during 33 years of incarceration at Casuarina Prison. Key clinical lessons i…
33y · Male·Decompensated congestive cardiac failure complicating acute myocardial infarctio…
…besity and steroid dependency presented with chest pain and light-headedness. Initial GP assessment missed acute coronary syndrome despite ECG changes on second visit. ED correctly diagnosed acute coronary syndrome with…
58y · Male·acute myocardial infarction caused by ischaemic heart disease
Gregory Merriman, a 58-year-old Aboriginal man, died from acute myocardial infarction caused by advanced ischaemic heart disease while in custody at Metropolitan Receptio…
61y · Male·Coronary atherosclerosis
…etes, heavy smoking history, and intravenous drug use. CT scans in 2013 and 2015 revealed severe abdominal aortic calcification, later noted as 'age-advanced atherosclerosis' on lumbar spine X-ray in 2016. Clinical Foren…
37y · Male·Complications due to atherosclerotic heart disease and dyslipidaemia
…er at the clinic, he presented with severe hypotension (80/40) and nausea but was not recognised as having acute coronary syndrome; only partial observations were taken; he deteriorated in the Medical Housing Unit with …
83y · Male·Congestive cardiac failure due to ischaemic and valvular heart disease, with her…
…the need to balance anticoagulation for atrial fibrillation against bleeding risk, and fluid management in acute kidney injury and heart failure. The coroner found no evidence that care provided by Corrective Services N…
72y · Male·hypovolemic shock due to haemoperitoneum following surgical repair of an abdomin…
…surgical intervention likely would have been life-saving. Key lesson: post-operative haemorrhage can mimic acute coronary syndrome; clinicians must maintain high suspicion and consider bleeding in all post-operative det…
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