Coronial
QLDhospital2005-05-04

Robinson, Jacinta Kate

7y · Female·cardiac tamponade due to total parenteral nutrition fluid leakage into the peric…

A 7-year-old girl with spina bifida died from cardiac tamponade caused by total parenteral nutrition (TPN) fluid leaking into the pericardial sac via a central venous l…

paediatric surgeryanaesthesiadiagnosticcommunicationtotal parenteral nutrition
QLDhospital2007-08-26

Fitter, Maureen

60y · Female·Cardiac tamponade due to ruptured heart due to total parenteral nutrition due to…

A 60-year-old woman died from cardiac tamponade caused by TPN fluid leaking into the pericardium through a PICC line inserted to provide nutrition follo…

colorectal surgerygastroenterologytotal parenteral nutrition
TAShospital2023-06-13

Coroner's Finding: HN de-identified

83y·cardiac tamponade due to haemopericardium resulting from traumatic parietal peri…

…ergency physician supervision. The procedure caused traumatic pericardial haemorrhage leading to cardiac tamponade and death. Critical deficiencies in medical documentation—missing ECGs, echocardiogram reports, and proc…

emergency medicinecardiologyproceduralsystem
VIChospital2017-05-19

Finding into death of Jane Laura Gooding

39y · Female·multiorgan failure and probable sepsis

…sepsis. CT imaging revealed bilateral consolidation and pericardial effusion; echocardiography confirmed tamponade, treated surgically by drainage. Despite initial haemodynamic improvement, she developed multiorgan dysf…

emergency medicineintensive care
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 coronar…

cardiologycardiothoracic surgeryproceduralsystemdiazepam
VIChospital2014-08-21

Finding into death of Neville Ross

65y · Male·Cardiac tamponade whilst undergoing CT-guided pericardiocentesis; perforation of…

A 65-year-old man with history of left pneumonectomy, COPD and cardiomyopathy died from cardiac tamponade during CT-guided pericardiocentesis. Key clinical issues: (1) Necessity of procedure was questionable—pa…

cardiologyradiologydiagnosticprocedural
TAShospital2018-08-31

Coroner's Finding: Oosterloo, Jane

63y · Female·Haemopericardium (pericardial tamponade) caused by perforation of the right vent…

Jane Oosterloo, 63, died from haemopericardium (pericardial tamponade) caused by right ventricular perforation during ultrasound-guided transthoracic pericardiocentesis. She …

emergency medicinecardiologyoseltamivir
TAShospital2017-03-31

Coroner's Finding: Hoskinson, Neville Robert

55y · Male·cardiac tamponade resulting from proximal aortic dissection due to hypertension

…chocardiogram confirmed dissection but the aorta further dissected during the procedure, causing cardiac tamponade and death. Had diagnosis occurred one day earlier, the patient had a 60% survival prospect.

emergency medicinecardiologydiagnosticcommunicationmorphine
ACThospital2019-11-04

Inquest into death of JEFFREY BROWN

72y · Male·Haemopericardium due to anti-coagulation treatment for pulmonary thromboemboliti…

…s pericarditis (a known post-CABG complication) with acute bleeding into the pericardium causing cardiac tamponade. Although the family raised concerns about delayed diagnoses and missed opportunities to escalate care, …

cardiothoracic surgerycardiologywarfarin
TAScommunity2016-06-20

Coroner's Finding: Gordon, Mark Alexander

51y · Male·Pericardial tamponade complicating Type I aortic dissection in the setting of lo…

…d. The patient arrested on 22 March and died. Autopsy revealed Type I aortic dissection with pericardial tamponade. The coroner found the diagnosis should have been considered, especially after back pain and syncope dev…

emergency medicinegeneral medicinediagnosticdelay
NSWhospital2015-07-27

Inquest into the death of Lynette Maree YOUNG

46y · Female·Shock following interferon alpha treatment following removal of a melanoma

Lynette Young, 46, died of shock secondary to pericarditis with cardiac tamponade following interferon alpha treatment for melanoma. She presented with chest pain to Dubbo Base Hospital …

oncologycardiologydiagnosticcommunicationinterferon alpha
VIChospital2023-02-28

Finding into death of Mrs K

81y · Female·Cardiac tamponade secondary to dissection of ascending aorta

…ter with persistent symptoms, was admitted under cardiology with suspected NSTEMI, and died from cardiac tamponade due to aortic dissection rupture while awaiting CTPA. The coroner found that aortic dissection was likel…

emergency medicinecardiologydiagnosticdelayaspirin
TAShome2023-07-20

Coroner's Finding: Turner, Andrew Quentin

45y · Male·multiple blunt traumatic injuries sustained in a motorcycle crash

…ine resulted in fatal injuries including rib fractures with lung lacerations, lung collapse, and cardiac tamponade.

forensic medicineemergency medicinecannabis
TAShospital2024-11-07

Coroner's Finding: Flynn, Christine Joy

68y · Female·haemopericardium resulting from perforation of the pericardial sac during laparo…

Mrs Christine Flynn, aged 68, died from haemopericardium and pericardial tamponade following laparoscopic hiatus hernia repair. A 2mm perforation of the pericardial sac occurred during su…

general surgerycardiothoracic surgeryprocedural
QLDhospital2021-03-09

Horne, Ashley Thomas

49y · Male·Stab wound to the chest

…nife removal did not change outcome - the injury (penetrating wound to heart/pericardium causing cardiac tamponade) was non-survivable given distance to advanced resuscitation care. Key learning: Law enforcement must re…

emergency medicineparamedicinecommunicationdelaysertraline
TAShospital2015-04-22

Coroner's Finding: Rogers, Maureen Ann

71y · Female·cardiac tamponade due to ascending aortic dissection

…also warned that non-contrast imaging was inadequate to exclude dissection. Mrs Rogers died from cardiac tamponade that night. Immediate surgery (Bentall's procedure) offered 50-60% survival despite significant risks. T…

emergency medicineradiologydiagnosticcommunicationmorphine
NThospital2023-03-15

Inquest into the death of Janelle Pamkal

35y · Female·aortic dissection with associated acute aortitis

A 35-year-old Aboriginal woman with schizoaffective disorder presenting with acute psychosis and chest pain was appropriately referred for psychiatric assessment and retrieval. CareFlight transport was timely and the rec…

emergency medicinepsychiatryolanzapine
QLDcommunity

Peuckert, Bay Roxas - Non-inquest findings

48y · Female·Neck and chest injuries sustained in the incident with the cherry picker. Mechan…

…urpose. Clinical lessons include recognition that workplace injuries causing crush asphyxia, pericardial tamponade, and multiple rib fractures require immediate advanced life support and emergency surgery—which was prov…

systemcommunication
SAhospital2008-09-19

Coroner's Finding: ALLEN Richard Grant

60y · Male·haemopericardium due to rupture of right ventricle complicating removal of cardi…

…mber 2005. The 14mm perforation created catastrophic bleeding into the pericardial space causing cardiac tamponade. Although the procedure was appropriately indicated for an infected pacemaker and performed by an experi…

cardiologyanaesthesiadiagnosticdelaypropofol
VIChospital2021-07-22

Finding into death of Christian Joy

34y · Male·Cardiac tamponade due to hemopericardium from acute aortic dissection of the asc…

…noon but left the ED without reassessment. He died hours later from acute aortic dissection with cardiac tamponade. Key failures: lack of real-time communication of significant radiological findings, failure to perform …

emergency medicineradiologydiagnosticcommunicationmorphine

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