The Pediatric Cardiac Surgery Inquest Report



The Operation-April 18

The surgical team involved in the second operation is set out in the chart.

TABLE 6.7 : Persons involved in the operation on Vinay Goyal, April 18, 1994
OR team member   Persons involved
Surgeon J. Odim
Surgical assistants B.J. Hancock, S. Wiseman (resident)
Anaesthetists J. Swartz , A. McNeill
Scrub nurses C. Youngson, C. Weber, C. McGilton
Circulating nurses S. Scott, B. Zulak, A. Glenday, W. Yakinchuk
Perfusionists T. Koga, M. Maas

TABLE 6.8: Length of phases of the operation on Vinay Goyal, April 18, 1994
Phase of the operation   Time taken
Induction 2 hours 20 minutes
Bypass 4 hours 14 minutes
Aortic cross-clamp 2 hours 2 minutes
Total surgical time 7 hours 50 minutes
Total operating-room time 10 hours 40 minutes

Prior to Vinay being taken to the OR, a disagreement also arose between Swartz and Odim over whether Vinay's lines should be changed in the ICU. In the end, Swartz prevailed and new lines were inserted. Swartz testified that during the discussion she had had with Odim, he told her that she had a lot of testosterone, a remark that led her to terminate the conversation.

The operation on April 18 revealed that there were patch leaks beneath the aortic valve and at the ventricular crest. These were repaired. In their report, Cornel and Duncan commented that this was a lengthy operation.

Vinay Goyal - pre-operative heart
Vinay Goyal - pre-operative heart

Diagram 6.7 Vinay Goyal - post-operative heart
Diagram 6.7 Vinay Goyal - post-operative heart
1 - Takedown of Blalock-Taussig shunts
2 - Suture closure of patent foramen ovale
3 - Pulmonary valvectomy and transannular right ventricular outflow
tract patch, with resection of right ventricular muscle bands.
4 - Patch closure of ventricular septal defect
5 - Patch site leaks

Compare pre- and post-operative diagrams side by side



Current Home - Table of Contents - Chapter 6 - The Operation-April 18
Next Intra-operative incidents
Previous Pre-operative status
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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