135 results for “cardiothoracic surgery”
62y · Male·multi-organ failure on a background of aortic regurgitation and ischaemic heart …
…an with aortic regurgitation and coronary artery disease died from multi-organ failure after emergency cardiothoracic surgery. His elective surgery was cancelled twice (14 and 22 Aug 2023) due to prioritization of urgent…
37y · Male·valvular and ischaemic heart disease
…ar and ischaemic heart disease on 13 April 2016 following intraoperative cardiac arrest during planned cardiothoracic surgery at Fiona Stanley Hospital. He had severe aortic regurgitation, left ventricular failure, and c…
41y · Female·multiple stab wounds to the neck
…n Parramatta Park on 7 March 2015. She was transported to Westmead Hospital where she underwent emergency surgery involving trauma, vascular, and cardiothoracic surgeons. Despite resuscitation efforts and operative inte…
35y · Female·aortic dissection with associated acute aortitis
…ardiac arrest before diagnosis could be made. Even if diagnosed that evening, transfer to Adelaide for cardiothoracic surgery (unavailable in Darwin) would not have been achievable in time. The coroner determined the dea…
44y · Male·cardiogenic shock, on a background of severe tricuspid valve regurgitation, seve…
… worsening cardiac disease, duodenal ulcers, and complex medical needs while in police custody. Expert cardiothoracic evidence indicated his condition was inoperable due to severe pulmonary hypertension and right ventric…
15y · Male·right haemothorax due to lacerations of right lung
…pital resuscitation in the Emergency Department was well-managed with appropriate use of chest drains; cardiothoracic theatre activation was timely. The injury itself (massive intrapulmonary bleed) was exceptionally rare…
63y · Male·severe refractory heart failure despite coronary artery bypass and repeated prol…
… presented with cardiomyopathy, poorly controlled diabetes, and severe coronary artery disease. Following surgery at Flinders Medical Centre, his ventricular function remained poor with persistent biventricular failure.…
68y · Male·Multi-organ failure due to gram-negative sepsis on a background of recent myocar…
…trates the challenging outcomes in elderly prisoners with advanced comorbidities undergoing major cardiac surgery.
44y · Male·gunshot wound to abdomen
…radiology. Critical clinical lessons include: delayed notification of consultant surgeons (general and cardiothoracic) who could have provided essential expertise; the deceased's unrecognized inferior vena cava tear caus…
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…
49y · Male·Acute myocardial infarction complicating prosthetic valve thrombosis in a man wi…
Joshua Paul Coates, aged 49, died from acute myocardial infarction complicating prosthetic valve thrombosis following mechanical aortic valve replacement. Post-mortem examination revealed a large blood clot obstructing h…
72y · Male·Haemopericardium due to anti-coagulation treatment for pulmonary thromboemboliti…
Jeffrey Brown, a 72-year-old with recent cardiac surgery (CABG), died from haemopericardium due to anticoagulation treatment for pulmonary thromboembolism. Post-m…
55y · Male·ruptured dissection of the thoracic aorta
…g 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 November 2010…
43y · Male·Hypoxic brain injury secondary to haemopericardium and tamponade complicating ru…
…ain injury. Key clinical lessons: (1) complications of PCI in regional facilities without on-site cardiac surgery incur significant time delays for definitive surgical management; (2) emergency pericardiocentesis carrie…
67y · Male·Intracranial haemorrhage complicating coronary artery bypass graft surgery follo…
A 67-year-old man died from intracranial haemorrhage following coronary artery bypass graft surgery. He had suffered a right coronary artery dissection during percutaneous coronary intervention at Sunshine…
79y · Male·Iatrogenic right ventricular injury complicating drainage of pericardial collect…
…injury and repair caused loss of ventricular contractility despite maximal support. The coroner found the surgery was clinically indicated and surgical decisions were reasonable in the emergency context, though acknowle…
60y · Male·Ischaemic gut secondary to superior mesenteric artery dissection complicating in…
…ry disease presented with acute myocardial infarction, requiring emergency stenting and subsequent bypass surgery. An intra-aortic balloon pump (IABP) was inserted for haemodynamic support. During IABP removal on post-o…
77y · Female·haemoperitoneum and retroperitoneal haematoma secondary to Type I aortic dissect…
…e of documented cardiovascular examination. Early recognition and imaging (CT angiography) with urgent cardiothoracic surgery could have been life-saving.
5y · Female·Cardiac and respiratory arrest probably connected with embolic stroke
…plenia and situs inversus) died of cardiac arrest from embolic stroke. She had undergone initial BT shunt surgery but required a Glenn shunt, clearly indicated after cardiac catheterization in 2006-2007. Critical failur…
63y · Male·pulmonary thrombo-emboli following coronary artery bypass grafting
…ficiencies. Pulmonary thromboembolism remains a recognised, albeit uncommon (1%), complication of cardiac surgery despite prophylaxis.
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