The operation-November 1
On Tuesday November 1, Ashton underwent:
The operating team is set out in the accompanying chart.
The myocardial protection used was moderate hypothermia and intermittent cold blood cardioplegia.
Odim testified that in his opinion, the repair in Ashton's case went very well. The other participants in the operation raised no issues about this procedure. However, Soder said that a procedure of this length would give him some anxiety.
During surgery Ashton experienced problems with heart block that continued during his post-operative treatment. He had third-degree heart block during the closure of his chest, which required cardiac pacing.
Aside from the fact that withdrawal from bypass required substantial doses of inotropes, Cornel concluded that the "surgery appears to have been otherwise uneventful. Intraoperative pressure recordings were consistent with a satisfactory repair. The pulmonary artery pressure was elevated but the left atrial pressure and central venous pressure were within expected range." (Exhibit 353, page 59) In their joint report, Cornel and Duncan noted that the patches appeared to be intact and appropriately placed. In his testimony, Dr. Walter Duncan said, "I think it was well done. This is a difficult repair, I think his patches were intact, his valves looked okay, his pressures were perfect." (Evidence, page 41,451)
|Current||Home - Table of Contents - Chapter 8 - The operation-November 1|
|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|