The Operation-April 18

The surgical team involved in the second operation is set out in the chart.

TABLE 6.7 : Persons involved in the operation on Vinay Goyal, April 18, 1994
OR team member		Persons involved
Surgeon		J. Odim
Surgical assistants		B.J. Hancock, S. Wiseman (resident)
Anaesthetists		J. Swartz , A. McNeill
Scrub nurses		C. Youngson, C. Weber, C. McGilton
Circulating nurses		S. Scott, B. Zulak, A. Glenday, W. Yakinchuk
Perfusionists		T. Koga, M. Maas

TABLE 6.8: Length of phases of the operation on Vinay Goyal, April 18, 1994
Phase of the operation		Time taken
Induction		2 hours 20 minutes
Bypass		4 hours 14 minutes
Aortic cross-clamp		2 hours 2 minutes
Total surgical time		7 hours 50 minutes
Total operating-room time		10 hours 40 minutes

Prior to Vinay being taken to the OR, a disagreement also arose between Swartz and Odim over whether Vinay's lines should be changed in the ICU. In the end, Swartz prevailed and new lines were inserted. Swartz testified that during the discussion she had had with Odim, he told her that she had a lot of testosterone, a remark that led her to terminate the conversation.

The operation on April 18 revealed that there were patch leaks beneath the aortic valve and at the ventricular crest. These were repaired. In their report, Cornel and Duncan commented that this was a lengthy operation.

Vinay Goyal - pre-operative heart

Diagram 6.7 Vinay Goyal - post-operative heart 1 - Takedown of Blalock-Taussig shunts 2 - Suture closure of patent foramen ovale 3 - Pulmonary valvectomy and transannular right ventricular outflow tract patch, with resection of right ventricular muscle bands. 4 - Patch closure of ventricular septal defect 5 - Patch site leaks