The Pediatric Cardiac Surgery Inquest Report



The case of Ashton Feakes

Background and diagnosis
The decision to operate
Pre-operative status
The operation-November 1
Post-operative course

Increase in mitral regurgitation
November 7-the mitral regurgitation worsens
November 8-a small improvement
November 9 - a turn for the worse
November 10-the opportunity for mitral valve replacement passes
November 11

Post-mortem findings

Were Ashton's parents provided with sufficient information to allow them to give informed consent to the procedure?
Should Ashton have been referred out of the province during the summer of 1994?
Should consideration have been given to performing a mitral valve replacement before November 10?
What was the cause of death and was it preventable?



Current Home - Table of Contents - Chapter 8 - The case of Ashton Feakes
Next Issues
Previous The department heads meeting of October 28
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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