Guadalupe Ramirez had a history of congestive heart failure. She was also an insulin-dependent diabetic, had mitral valve regurgitation, atrial fibrillation, rheumatic heart disease, high blood pressure and a prosthetic heart valve. Ramirez, 72, underwent a cardiac catheterization procedure on Nov. 21, 2003. Eight days after the procedure, Ramirez presented to the emergency department at the University of Illinois Hospital (UIC) complaining of groin pain.
The defendant, Dr. Joan Briller, was the attending cardiologist for the first 24 hours of her admission. Dr. Briller and other physicians considered a retroperitoneal bleed in their assessment, but did not order a CT scan until about 22 hours later.
All parties agreed that a retroperitoneal bleed is a recognized complication of cardiac catheterization and often occurs in the absence of negligence.