MORTALITY REVIEW

MEETING22.10.2014

Department of CTVS

JAGANNATH SABUT 56 years old male from Cuttack Date of admission 27.08.2014 Date of surgery 04.09.2014 Date of death 05.09.2014 Diagnosis: coronary artery disease; post

inferior wall MI, severe mitral regurgitation, mild aortic regurgitation, NYHA class V, mild LV dysfunction, poorly controlled diabetic

PRE-OP DETAILS Admitted to EMR on 27.08.2014 with

severe breathlessness, sweating, cough x 9 days

Not a known hypertensive, known diabetes x 12 years

At admission in LVF, shock, shifted to ICU, stabilized, intubated and ventilated, supportive care given, Nephrology consult taken for azotemia

CAG done on 02.09.2014 (mild 30% LAD lesion, 100% RCA lesion, LCx normal)

PRE-OP DETAILS Still on mechanical ventilator, unable to

extubate, recurrent LVF, persistent azotemia

on 04.09.2014 emergency CABG with mitral valve replacement done

Weaned off CPB with difficulty with high inotropic support and IABP support, shifted in unstable condition

Deteriorated and died at 5 AM on 05.09.2014

SOWMYA RANJAN SWAIN 11 months old male baby from Puri Date of admission 08.09.2014 Date of surgery: 18.09.2014 Date of death: 18.09.2014 Diagnosis: Congenital acyanotic heart

disease; partial AV canal defect, large perimemrnaous ventricular septal defect, ostium primum ASD, large PDA, severe PAH

PRE-OP DETAILS Admitted for cough, fever, vomiting x 2

months Stabilised, treated with antibiotics,

persistent mild cough, cath could not be done

VSD closure, PDA ligation and ASD closure done on 18.09.2014

Shifted to ICU in stable condition, developed tachy-arryhthmia (resistant VT) in immediate post-op period, deteriorated quickly and died at 10PM same day

SANTANU KUMAR KAR 49 year old male from Baripada Date of admission: 03.09.2014 Date of surgery: 08.2014 Date of death: 09.09.2014 Diagnosis: Rheumatic valvular heart

disease, severe MR, mild MS, moderate AS, moderate AR, single vessel CAD, diabetic, CRF, NYHA class V, in atrial fibrillation with fast rate

PRE-OP DETAILS Admitted to EMR with chest pain,

sweating and breathlessness since same day morning

Admitted, stablised, sugars controlled, shifted to CT-ICU for AF with fast rate on 06.09.2014, put on non-invasive ventilation

DVR with CABG done on 08.9.2014, shifted to CT-ICU in unstable condition

Persistent acidosis, low BP, low urine output despite IABP and high inotropic support

Died on 09.09.2014 at 11:45 PM