HOSPITAL neglect has been found to have contributed to the death of a 67-year-old grandfather from Stretford, whose aneurysm went untreated for eight years.
Peter Young, a retired courier with two grown-up children and seven grandchildren, died of multiple organ failure in 2014.
And an inquest into his death was conducted at Manchester Coroner’s Court earlier this week.
The court heard that in 2006, Mr Young underwent tests at Manchester Royal Infirmary, which revealed he had a dilatation of the aorta.
Nigel Sharman Meadows, senior coroner for Manchester, said: “A clinical decision was made that this was not a significant finding and consequently no ultrasound assessment was undertaken.
“This was a missed opportunity to have assessed and measured the aorta because, had it been greater than 3cm, the deceased would have been subject to surveillance monitoring.”
Had this happened, he continued, it was “possible” that the developing aneurysm would have been diagnosed earlier and Mr Young would have had an operation before 2012.
In 2012, Mr Young had a heart attack and underwent investigations prior to a coronary bypass at Manchester Royal Infirmary, in May 2013.
During the pre-operative assessments, a large, 7cm aneurysm was found.
Mr Meadows said: “This was a serious and life-threatening condition and should have resulted in him being referred to the vascular team for consideration of an elective repair.
“Due to a combination of human and systemic failings, this did not happen and he was discharged and not followed up. This was a very significant and serious failure and omission of care.”
Mr Young recovered well from his heart surgery, although he complained of stomach pains from time-to-time.
On April 29 2014, Mr Young was rushed to A&E complaining of severe pain in his back and side, which he had been suffering from for three days.
The hospital’s triage team recommended he be seen within the hour but it was three hours until he was seen by a doctor, who diagnosed kidney stones.
It was noted that he had a reported 7cm aneurysm in 2013, but no urgent CT scan was undertaken.
A scan was done the next day, showing that the aneurysm had ruptured. He was taken to theatre for emergency surgery but died on May 2 due to multiple organ failure.
On the first day of the inquest, Mr Meadows adjourned proceedings so that he could visit the hospital and confirm the strength of the new systems the trust says have been put in place to prevent future incidents of this nature.
He concluded that Mr Young died of “natural causes contributed to by neglect”.
Emma Wray, a clinical negligence partner at London law firm Hodge Jones and Allen, is acting for Samantha James, Mr Young’s daughter, whose concerns about her father’s death led to the inquest.
She said: “The death of Samantha’s father has had a profound impact on my client and her family, made worse by the knowledge now that it might have been prevented but for human and systemic errors over several years.
“At the same time, she is satisfied with the conclusion of the coroner, who conducted a thorough investigation that has shown the trust where the mistakes were made.
“Whilst nothing can bring back her own father, she hopes that as a result of her determination to understand the wider circumstances leading to his death, future deaths will be prevented.”