Finding into death of Carol Rae Street

49y · Female·Coronary artery atherosclerosis in the setting of pulmonary valve replacement for treatment of tetralogy of fallot

Carol Rae Street, age 49, died at Royal Melbourne Hospital on 13 September 2025, three days after undergoing percutaneous pulmonary valve insertion for pulmonary regurgitation related to tetralogy of fallot. She was found unresponsive on 11 September with severe hypoxic brain injury. Living in Specialist Disability Accommodation with schizophrenia, epilepsy, depression, OCD and intellectual disability, she had received appropriate multidisciplinary consent for the procedure. Autopsy revealed significant coronary artery atherosclerosis and cardiomegaly. The coroner accepted the forensic pathologist's opinion that death resulted from natural causes—coronary atherosclerosis in the setting of pulmonary valve replacement. No inquest was required despite reportable status due to person-in-care circumstances, as natural causes were established. No adverse findings were made against any clinician.