The Pediatric Cardiac Surgery Inquest Report



The tricuspid atresia case

The discussion involving the child with tricuspid atresia focused on the fact that the child had to be returned to the operating room to have a central shunt re-done. The notes of the discussion conclude with this comment:

Some issues were discussed related to the ability to predict the response to the Glenn shunt and it was felt that this was essentially not possible. The issue of returning a child to the unit with significant bleeding per chest tube was also discussed. (Exhibit 20, Document 278 G)

The child subsequently recovered.



Current Home - Table of Contents - Chapter 7 - The tricuspid atresia case
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Previous The August 10 committee meeting
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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