Analysis of autopsy and clinical findings on medical malpractice cases after heart operation / 法医学杂志
Journal of Forensic Medicine
;
(6): 46-48, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-983262
ABSTRACT
OBJECTIVE@#The purpose of this study was to use autopsy to explore cause of death and to identify medical errors after cardiac surgery.@*METHODS@#Clinical and autopsy findings in 6 cases were analyzed with respect to the clinical diagnosis, operation types, death time and features, and autopsy findings, medico-legal disputes and related medical errors.@*RESULTS@#There were total 6 patients. The procedures involve cardiac valve replacement (4), coronary artery bypass (1), and congenital aortic transposition repair (1). Three patients had sudden death one week after surgery and 3 from congestive heart failure. The findings include myocardial infarction (2), massive myocardial injury (1), endocarditis (2), and multi-organ failure (1). The families in all six cases suspected malpractice. The major concerns were operation indication and timing, selection of operation equipment, operative mishandling, inadequate post-operative care and timely therapeutic invention, inadequate informed consent regarding the severity of the disease itself, the risks of heart surgery, and its prognosis after the procedures.@*CONCLUSION@#Autopsy can be used to determine the cause of death, to assess the quality of the operation and post operation management, and to help to resolve malpractice disputes
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Quality Control
/
Autopsy
/
Cause of Death
/
Medical Errors
/
Forensic Pathology
/
Heart Diseases
/
Cardiac Surgical Procedures
/
Malpractice
/
Mitral Valve Stenosis
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Infant
/
Male
Language:
Chinese
Journal:
Journal of Forensic Medicine
Year:
2007
Type:
Article
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