Prevention of future deaths reports - Mary Mellor

Summary

Mary Anne Mellor died from a ruptured thoracic aortic aneurysm caused by a leak from an aortic stent inserted four years previously.

Content

Evidence for this coroner’s report raised concerns about annual surveillance of aortic stents using CT scanning, noting that when 3D reconstruction was not used in this process there is a risk of leaks not being identified.

The Report notes that while the Trust concerned in this case, Liverpool Heart and Chest Hospital, have amended their own policy, it is not clear that the external agency that carries out these scans have done so. This report was also sent to the Care Quality Commission.

Follow the link below to read the coroner’s report regarding Mary’s death in full.