The Pediatric Cardiac Surgery Inquest Report




Aric Baumann underwent heart surgery on June 30, 1994, and died on August 21 after spending 52 days in the PICU. His death was due to pulmonary vein stenosis, an undiagnosed congenital defect. It is essentially unresponsive to treatment and usually fatal.

This case gave rise to the following questions:

  • Could Aric's pulmonary vein stenosis have been identified before surgery?
  • If it could have been detected earlier, could Aric have benefited from a heart-lung transplant?
  • Was Aric a high-risk patient at a time when the program was not undertaking high-risk cases?
  • Were his parents provided with sufficient information to allow them to give informed consent to the procedure?
  • What was the cause of death and was it preventable?



Current Home - Table of Contents - Chapter 7 - Issues
Next Background and diagnosis
Previous The case of Aric Baumann
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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