4 Apr 2017 Christina Ingrid Smith · Prevention of Future Deaths report Somerset
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Concerns raised 4 Failure to communicate identified thoracic aneurysms to patients and GPs View source Failure to place identified thoracic aneurysms under surveillance View source Failure to inform GPs of identified thoracic aneurysms View source Failure to inform patients of identified thoracic aneurysms View source See 1 more concern
No linked response statements No action or position from this recipient is clearly linked to the concerns in this report.
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Christina Ingrid Smith · Prevention of Future Deaths report
This summary was generated using AI from the published report. Please read the original report for the complete account.
Report summary
Christina Ingrid Smith was referred to Yeovil District Hospital on 30 March 2016 and returned later that day for investigation of a suspected abdominal aneurysm. She deteriorated overnight and died at home; the inquest concluded that she died from a naturally occurring haemorrhage associated with a ruptured dissecting aortic aneurysm. Concerns included that her thoracic aneurysm was not communicated to her or her GP and was not placed under surveillance.
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× Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Yeovil District Hospital NHS Foundation Trust; that does not assign responsibility.
PFD Monitor interpretation Failure to communicate identified thoracic aneurysms to patients and GPs
Wider context from the report “(3) There appears to have been a breakdown in communication with regard to advising both Mrs Smith and her GP as to the existence of the Thoracic Aneurysm .
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Yeovil District Hospital NHS Foundation Trust; that does not assign responsibility.
PFD Monitor interpretation Failure to place identified thoracic aneurysms under surveillance
Wider context from the report “(2) Only Mrs Smith's Abdominal Aneurysm was placed under surveillance so as to monitor any possible increase in size. Mrs Smith’s Thoracic Aneurysm was not placed under surveillance.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Yeovil District Hospital NHS Foundation Trust; that does not assign responsibility.
PFD Monitor interpretation Failure to inform GPs of identified thoracic aneurysms
Wider context from the report “(1) A report on Mrs Smith of 2011 identified both an Abdominal Aneurysm and a Thoracic Aneurysm. It appears Mrs Smith was never told of the existence of the Thoracic Aneurysm. It appears Mrs Smith's GP was never told of the existence of the Thoracic Aneurysm.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Yeovil District Hospital NHS Foundation Trust; that does not assign responsibility.
PFD Monitor interpretation Failure to inform patients of identified thoracic aneurysms
Wider context from the report “(1) A report on Mrs Smith of 2011 identified both an Abdominal Aneurysm and a Thoracic Aneurysm. It appears Mrs Smith was never told of the existence of the Thoracic Aneurysm. It appears Mrs Smith's GP was never told of the existence of the Thoracic Aneurysm.
” Open source report
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations