Lessons Learned from an Erroneous Surgery : Inversely Implanted Apicoaortic Valved Conduit / 日本心臓血管外科学会雑誌
Japanese Journal of Cardiovascular Surgery
; : 313-317, 2015.
Article
in Ja
| WPRIM
| ID: wpr-377500
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ABSTRACT
A 62-year-old woman with severe aortic stenosis underwent apicoaortic bypass grafting. The graft was implanted inversely at first ; on the next day, it was re-implanted in the right direction. She recovered once from heart failure ; however, on postoperative day (POD) 74, she died from respiratory failure. On POD 16, an in-house multidisciplinary investigatory commission reviewed the human factors that had led to the surgical error. Throughout the investigation, we provided relevant information about the event and explanations. We presented our apologies the patient's family and offered to compensate them for their losses.
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Index:
WPRIM
Language:
Ja
Journal:
Japanese Journal of Cardiovascular Surgery
Year:
2015
Type:
Article