Garcia v. Edgewater Hospital

613 N.E.2d 1243, 244 Ill. App. 3d 894, 184 Ill. Dec. 651, 21 U.C.C. Rep. Serv. 2d (West) 595, 1993 Ill. App. LEXIS 411
CourtAppellate Court of Illinois
DecidedMarch 26, 1993
Docket1-90-3663
StatusPublished
Cited by17 cases

This text of 613 N.E.2d 1243 (Garcia v. Edgewater Hospital) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Garcia v. Edgewater Hospital, 613 N.E.2d 1243, 244 Ill. App. 3d 894, 184 Ill. Dec. 651, 21 U.C.C. Rep. Serv. 2d (West) 595, 1993 Ill. App. LEXIS 411 (Ill. Ct. App. 1993).

Opinion

JUSTICE COUSINS

delivered the opinion of the court:

Defendant, Edgewater Hospital (Edgewater), appeals an $845,000 jury verdict rendered against it in a wrongful death action brought by plaintiff, Alfredo Garcia (plaintiff), as administrator of the estate of his deceased wife, Victoria Garcia (Mrs. Garcia).

While at Edgewater, Mrs. Garcia died after surgery performed by Dr. Jafar Shah-Mirany (Dr. Shah-Mirany). At trial, plaintiff’s sole theory against Edgewater was that Edgewater was liable for breach of implied warranty of merchantability under the Illinois Uniform Commercial Code (Commercial Code or Code) (Ill. Rev. Stat. 1983, ch. 26, par. 1 — 101 et seq.). The basis for plaintiff’s implied warranty claim was a defective prosthetic heart valve, manufactured by Shiley, Inc., which lengthened the time necessary to perform Mrs. Garcia’s heart surgery because the defective valve had to be replaced by a second valve. As a result, Mrs. Garcia died from blood loss when, due to their religious beliefs, the Garcias refused to permit a blood transfusion.

The jury returned a verdict in plaintiff’s favor in the amount of $845,000 which was later reduced to $645,000 to reflect a prior $200,000 settlement between plaintiff and the manufacturer, third-party defendant Shiley, Inc. The jury found against plaintiff and in favor of codefendant Dr. Shah-Mirany, on allegations of medical malpractice for unnecessary and negligent performance of the surgical procedure.

Edgewater’s third-party complaint against Shiley seeking indemnity based on breach of warranty allegations was dismissed prior to trial.

The issues presented for review are: (1) whether the trial court erred in ruling that Edgewater’s liability could be premised on breach of an implied warranty of merchantability under the Illinois Commercial Code, (2) whether the trial court erred in ruling that section 2— 621 of the Code of Civil Procedure (Ill. Rev. Stat. 1983, ch. 110, par. 2 — 621) did not apply to actions premised on breach of implied warranty of merchantability, (3) whether plaintiff’s claim was barred by the “Refusal To Permit Blood Transfusion” signed by Mrs. Garcia and the “Special Consent And Release” signed by Mr. and Mrs. Garcia, and (4) whether the trial court erred in ruling that the hospital’s third-party complaint for indemnity against the manufacturer was barred by the manufacturer’s previous settlement with plaintiff pursuant to the Contribution Act (Ill. Rev. Stat. 1983, ch. 70, par. 301 et seq.).

Reversed and remanded with directions.

Background

Mrs. Garcia had a history of heart problems. On July 19, 1982, Mrs. Garcia was admitted to Edgewater Hospital for mitral valve replacement surgery which was to occur on July 21, 1982. The mitral valve connects the heart’s atrial and ventricular chambers and allows blood to properly flow between the two chambers, thereby providing normal heart function. During this surgical procedure, the diseased mitral valve would be removed and replaced with an artificial valve prosthesis so that it would perform the same heart function.

Because Mr. and Mrs. Garcia were of the Jehovah’s Witness religion, Mrs. Garcia agreed to have surgery subject to the condition that there would be no transfusion of blood or blood derivatives, no matter what unforeseen or untoward event occurred. Consequently, on July 20, 1982, the day before the mitral valve replacement surgery, Mrs. Garcia executed two releases.

The “Refusal To Permit Blood Transfusion” signed by Mrs. Garcia provided, in pertinent part, that Mrs. Garcia released

“the attending physician, his assistants, the hospital and its personnel from any responsibility whatever for any untoward results due to my refusal to permit the use of blood or its derivatives.”

The “Special Consent And Release” which was signed by Mr. and Mrs. Garcia read, in pertinent part, as follows:

“[U]nforeseen conditions may be revealed that would medically necessitate a transfusion of human blood or blood derivatives ***. In the event of my death as a result of not administering blood, we hereby absolve Dr. J. Shah-Mirany, his assistants, his designees, and Edgewater Hospital of Chicago and its agents from liability.”

Dr. Shah-Mirany performed the surgery on July 21, 1982. He placed Mrs. Garcia on a cardiopulmonary bypass machine at 9:36 a.m., opened the heart, and removed the diseased valve. Dr. Shah-Mirany then attached a Shiley prosthetic valve to tissues in Mrs. Garcia’s heart, closed the heart, and took steps to close the chest incision.

Mrs. Garcia was then put on partial bypass, her heart was restarted and rewarmed. However, her heart was not functioning properly and Dr. Shah-Mirany took steps to understand and correct the nature of the malfunction. Dr. Shah-Mirany reopened Mrs. Garcia’s heart and found that part of the Shiley valve was floating in the heart’s chamber. Dr. Shah-Mirany removed the defective Shiley valve and replaced it with another Shiley valve. Mrs. Garcia was still on the cardiopulmonary bypass machine. Dr. Shah-Mirany closed Mrs. Garcia’s heart and chest. Surgery ended at 3:10 p.m., and Mrs. Garcia was transferred to the recovery room with her heart functioning satisfactorily.

Mrs. Garcia remained on the cardiopulmonary bypass machine for 3 hours and 49 minutes, which was longer than originally anticipated. Because of the extended time on the bypass machine, Mrs. Garcia developed coagulopathy, a clotting disorder which occurs when the blood will not clot. Mrs. Garcia lost all of her blood, became anemic, and died several hours after her surgery.

Edgewater contends that because Mrs. Garcia was on the cardiopulmonary bypass machine longer than anticipated, she lost more platelets than normal. Dr. Shah-Mirany stated that he repeatedly asked Mr. Garcia to consent to a blood transfusion, but Mr. Garcia repeatedly refused. Dr. Shah-Mirany contends that if Mrs. Garcia had been given blood, she probably would have recovered.

Plaintiff contends that because Mrs. Garcia was on the cardiopulmonary bypass machine too long, the coagulopathy which existed in Mrs. Garcia was irreversible, and a transfusion of platelets would not have reversed the coagulopathy or saved Mrs. Garcia’s life.

However, one of plaintiff’s witnesses, on cross-examination, admitted that the only chance of stopping coagulopathy is to give blood or blood products. This witness also testified that if Mrs. Garcia had received blood or blood products early enough during the bypass, she would have had a chance of surviving.

Plaintiff originally brought an action against other defendants, including the manufacturer of the defective heart valve, Shiley, Inc., Dr. Shah-Mirany and the anesthesiologist alleging claims of strict liability, medical malpractice and negligence. The anesthesiologist was dismissed from the action and Shiley ultimately settled plaintiff’s claim against it for $200,000.

Plaintiff amended his complaint to add an implied warranty theory to his negligence theory against Edgewater.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Smith v. Merck & Co., Inc.
472 F. Supp. 2d 1096 (S.D. Illinois, 2007)
LaRoe v. Cassens & Sons, Inc.
472 F. Supp. 2d 1041 (S.D. Illinois, 2006)
Caterpillar, Inc. v. Usinor Industeel
393 F. Supp. 2d 659 (N.D. Illinois, 2005)
Brandt v. Boston Scientific Corp.
Illinois Supreme Court, 2003
Brandt v. Sarah Bush Lincoln Health Center
771 N.E.2d 470 (Appellate Court of Illinois, 2002)
Lukwinski v. Stone Container Corp.
Appellate Court of Illinois, 2000
Sorce v. Naperville Jeep Eagle, Inc.
Appellate Court of Illinois, 1999
Chapman v. Cafe Madeleine
39 V.I. 161 (Supreme Court of The Virgin Islands, 1998)
Reynolds State Bank v. Office of the State Guardian
51 Ill. Ct. Cl. 332 (Court of Claims of Illinois, 1997)
Link v. Venture Stores, Inc.
677 N.E.2d 486 (Appellate Court of Illinois, 1997)

Cite This Page — Counsel Stack

Bluebook (online)
613 N.E.2d 1243, 244 Ill. App. 3d 894, 184 Ill. Dec. 651, 21 U.C.C. Rep. Serv. 2d (West) 595, 1993 Ill. App. LEXIS 411, Counsel Stack Legal Research, https://law.counselstack.com/opinion/garcia-v-edgewater-hospital-illappct-1993.