Jesse Maguire was born November 25, 1994, and was immediately diagnosed as suffering from an interrupted aortic arch, ventricular septal defect and an atrial septal defect. He underwent surgery on November 27, 1994, and died while on the operating table.

The issues to which this case gives rise are:

• Should the operation have been performed in Winnipeg or should Jesse have been referred out of province?
• Were Jesse's parents provided with sufficient information to allow them to give informed consent to the procedure?
• Should Dr. Andrew Hamilton have assisted in this operation?
• Was a cannula inadvertently dislodged during the operation?
• Were all the repairs intact?
• What was the cause of the poor perfusion following the initial repair?
• Were Jesse's parents fully informed about the circumstances surrounding his death?
• What was the cause of death and was it preventable?