Recommendations recap - issue 4 [pdf, 832 KB]
...The RCA panel identified that an error had been made by the unintended and inadvertent stapling of the right pulmonary artery and identified a number of factors that could have prevented what occurred. The report concluded that if a ‘trial’ clamping of the artery had taken place before actually stapling it, it would have been recognised that the wrong artery had been clamped. The surgeon accepted that this may have prevented what occurred and said that he now will clamp arter...