The Pediatric Cardiac Surgery Inquest Report



The decision to operate

After seeing Shalynn that evening, Ward wrote "COA repair [coarctation of the aorta]/PAB [pulmonary artery banding] is believed the best option." (Exhibit 10, page PIL 37) On July 31, he wrote in her chart that he had discussed the case with Giddins and Odim. The three agreed that at that time the best surgical strategy would be to avoid the inside of the heart and place a band on the pulmonary artery to control the amount of blood flowing to the lungs. Banding narrows the artery and prevents the lung from being flooded. The band thus reduces the effect of the holes in the heart, which would have to be addressed by a subsequent operation.



Current Home - Table of Contents - Chapter 7 - The decision to operate
Next Consent
Previous Background and diagnosis
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
Search the Report
Table of Contents