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recurance

Christina Smith

4 Apr 2017 · Coroner Tony Williams · Somerset

The coroner's concerns

  1. 1. lack of communication about Thoracic Aneurysm

    “Areport on Mrs [name redacted] of 2011 identified both an Abdominal Aneurysm and a Thoracic Aneurysm. It appears Mrs [name redacted] was never told of the existence of the Thoracic Aneurysm. It appears Mrs [name redacted] GP was never told of the existence of the Thoracic Aneurysm.”
  2. 2. absence of surveillance for Thoracic Aneurysm

    “Only Mrs [name redacted] Aneurysm was placed under surveillance so as to monitor any possible increase in size. Mrs [name redacted] Aneurysm was not placed under surveillance.”
  3. 3. communication breakdown about Thoracic Aneurysm

    “There appears to have been a breakdown in communication with regard to advising both Mrs [name redacted] and her GP as to the existence of the Thoracic Aneurysm.”

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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