| Department File Number : | M201885863 |
| Claim Number : | WC/107606-16 |
| Date Submitted : | 7/11/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Watson Clinic LLP | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-070493 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Diane | Szymanski | |||
| Street Address | |||||
| 1600 Lakeland Hills Blvd | |||||
| City | State | Zip | |||
| Lakeland | FL | 33809 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (863) 680 - 7620 | (863) 616 - 2430 | aszymanski@watsonclinic.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Alberto | M | Maldonado | ||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1600 Lakeland Hills Blvd | ||||
| City | State | Zip Code | County | ||
| Lakeland | FL | 33805 | Polk | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PH1605501-PL | $2,000,000 | $18,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME110338 | Surgery - Cardiovascular Disease | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Polk | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| Lakeland Regional Medical Center | 100157 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 8/12/2016 | 9/20/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Aortic valve replacement due to sever aortic stenosis, severe concentric left ventricular hypertrophy, consulted for urgent care aortic stenosis with mild to moderate chronic obstructive lung disease, non-obstructive peripheral vascular disease, and congestive heart failure class II | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| On August 12, 2016 Dr. Maldonado performed a minimally invasive aortic valve replacement. Preoperative discussion with the patient was that most likely the best value for him would be a mechanical valve but unfortunately, the smallest available mechanical valve was a 22mm which was too big for the patient and would not provide an effective orifice area. Dr. Maldonado proceeded to size for tissue valve and the best hemodynamically fit valve would be a Mitroflow valve as it gives a bigger orifice area. However, due to the body habitus of the patient Dr. Maldonado decided to utilize the 23mm Mitroflow pericardial tissue valve but due to concerns of Ostia stretching the 23mm valve was replaced with a 21mm tissue Mitroflow pericardial valve.The patient developed multiple complications after his inability to be weaned from bypass requiring ECMO (extracorporeal membrane oxygenation). The patient acquired subsequent lung injury that required massive transfusion and developed abdominal compartment syndrome, renal impairment and ARDS (acute respiratory distress syndrome). The patient was returned to surgery 5 times and was switched back to VA ECMO (venoarterial extracorporeal membrane oxygenation) for adequate heart support and transferred to Tampa General Hospital via air transport/ICU transfer. Patient expired on 8/29/18 after arriving at Tampa General Hospital. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Not applicable. This claim did not involve a misdiagnosis. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Allegation is that physician improperly performed an aortic valve replacement resulting in complications and death.Dr. Maldonado admitted no fault or liability as a result of the settlement. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 6/11/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 6/11/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $1,050,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $10,803 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $10,247 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Circumstance of event reviewed with individual parties involved. | |||||||||||||||||||||
| Updates | |
| No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. ALBERTO M MALDONADO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALBERTO M MALDONADO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).