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 abattoir wor…
87y · Male·Endobronchial and pulmonary haemorrhage secondary to pneumonia complicating chro…
…scopy for suspected lung lesion. The admitting respiratory team incorrectly documented a mechanical aortic valve replacement when he actually had a tissue valve; warfarin was for atrial fibrillation, not the valve. This…
83y · Female·decompensated right heart failure (cor pulmonale) immediately following mitral v…
…83-year-old woman died from decompensated right heart failure (cor pulmonale) immediately following mitral valve replacement surgery. She had chronic pulmonary hypertension secondary to severe mitral regurgitation from …
76y · Male·congestive cardiac failure
… of Wales Hospital after a two-week admission. He had a long history of cardiac disease including previous valve replacement and atrial fibrillation. His health was appropriately assessed on entry to custody, his pre-ex…
91y · Male·intracranial haemorrhage (subdural, subarachnoid and parenchymal) complicating r…
…lls at a nursing home. He had multiple comorbidities including metastatic prostate cancer, metallic aortic valve replacement requiring anticoagulation, and pacemaker. He suffered two significant falls within two days wh…
49y · Female·Coronary artery atherosclerosis in the setting of pulmonary valve replacement fo…
… 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 Sep…
68y · Male·Dilated cardiomyopathy with previous aortic valve replacement and aortic graft
A 68-year-old man with aortic valve replacement died from undiagnosed dilated cardiomyopathy, with retroperitoneal haemorrhage as a contributi…
83y · Female·Gunshot wound to the head
… from a gunshot wound to the head on 3 November 2016. She had extensive cardiac history including multiple valve replacements, pacemaker insertion, and congestive heart failure diagnosed in 2016. Two hospital admissions…
72y · Male·Subdural haematoma in a man receiving warfarin treatment
A 72-year-old man with intellectual disability receiving 24-hour support from DHHS died from acute subdural haematoma while on warfarin therapy post-cardiac surgery. He collapsed at work with vomiting and vagueness, was …
86y · Female·multiple injuries from motor vehicle crash
An 86-year-old woman died from multiple traumatic injuries sustained when her vehicle left the road and struck a tree. She was travelling at 85 km/h in appropriate conditions with her seatbelt fastened. The coroner could…
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 c…
64y · Male·Complications of redo thoracotomy/aortic valve replacement in a man with ischaem…
…BG, pacemaker, congestive failure, and newly severe aortic stenosis) underwent redo thoracotomy for aortic valve replacement. During sternal re-entry, the right ventricle was inadvertently incised despite use of an osci…
75y · Male·Acute cardiac failure due to mitral valve disease (surgically treated)
Arthur Lawrence Smith, 75, underwent successful mitral valve repair and coronary artery bypass grafts at TPCH on 2 August 2004 and was discharged 5 days later. On 19 A…
78y · Male·Multiorgan failure consequent upon pulmonary lacerations and haemorrhage sustain…
A 78-year-old man died from multiorgan failure following complications during planned mitral and tricuspid valve surgery. During the initial surgery, a small superficial laceration to the right lower lobe lung occurred,…
48y · Female·intracerebral haemorrhage on a background of anticoagulation therapy for a recen…
Monique Jacinta Gomez, a 48-year-old woman with schizoaffective disorder and a mechanical aortic valve, died from intracerebral haemorrhage while receiving anticoagulation therapy for a recent embolic stroke. …
43y · Male·Complications of valvular heart disease
…es Batten, a 43-year-old with intellectual disability and schizophrenia, died from complications of aortic valve stenosis. A transoesophageal echocardiogram in June 2022 demonstrated severe aortic stenosis requiring val…
80y · Female·Right haemothorax due to bleeding right pleural adhesion with contributing apixa…
… coroner found no concerns relating to her care. Her extreme fragility from multiple comorbidities (aortic valve replacement, pacemaker, immunoglobulin deficiency, Addison's disease, epilepsy) meant haemothorax could ha…
59y · Female·acute cardiogenic shock, with acute mechanical obstruction of a remote mechanica…
…cardiac catheterisation at Liverpool Hospital when a pressure wire became trapped in her mechanical aortic valve. She had consented to a right heart study to investigate suspected constrictive pericarditis, but not to t…
51y · Female·Ischaemic heart disease
…nt with long-standing bipolar affective disorder, complicated by childhood rheumatic fever causing cardiac valve damage requiring prosthetic replacement. She presented with an infected breast lesion but resisted physica…
62y · Male·chronic congestive cardiac failure due to severe aortic valve stenosis and incom…
…unt, aged 62, a life-sentenced prisoner, died from chronic congestive cardiac failure due to severe aortic valve stenosis and cardiomyopathy. His severe aortic stenosis was identified in 2003, but surgical intervention …
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