The Pediatric Cardiac Surgery Inquest Report



February 28 - The case of ST

On February 28, 1994, Odim performed his first surgical procedure in Winnipeg. The patient was a young girl named ST. (In this report, references to children other than the 12 who are the subject of this Inquest will be by initials.) In a closed procedure, Odim tied off a patent ductus arteriosus and repaired an aortic coarctation. The case proceeded smoothly and team members were encouraged by its success. It should be noted that in 1994 over 70 children underwent pediatric cardiac surgery at the HSC. Many of those cases passed without any significant incident. For that reason they are not discussed in this report. From this point on the report will discuss only those cases that give rise to comment.



Current Home - Table of Contents - Chapter 6 - February 28 - The case of ST
Next March 7 - The case of DR - the first open-heart case
Previous Surgery from February 28 to March 14
Section 1 Chapter 1 - Introduction to the Issues
  Chapter 2 - Pediatric Cardiac Issues
  Chapter 3 - The Diagnosis of Pediatric Heart Defects and their Surgical Treatment
  Chapter 4 - The Health Sciences Centre
Section 2 Chapter 5 - Pediatric Cardiac Surgery in Winnipeg 1950-1993
  Chapter 6 - The Restart of Pediatric Cardiac Surgery in 1994
January 1, 1994 to May 17, 1994
  Chapter 7 - The Slowdown
May 17 to September 1994
  Chapter 8 - Events Leading to the Suspension of the Program
September 7, 1994 to December 23, 1994
  Chapter 9 - 1995 - The Aftermath of the Shutdown
January to March, 1995
Section 3 Chapter 10 - Findings and Recommendations
Appendix 1 - Glossary of terms used in this report
Appendix 2 - Parties to the Proceedings and counsel
Appendix 3 - List of witnesses and dates of testimony
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