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The aspiration of milk was a factor in the death of a three-month-old baby who became "inconsolable" after a meal.
Baby Cormac Lafferty was born with conbad heart disease in June 2016.
His condition was diagnosed with the tetralogy of Fallot, a combination of four related abnormalities that often occur together.
The doctors performed open-heart surgery a month after birth, setting up a shunt to direct the blood from the heart to the lungs. Dr. Damien Kenny, a pediatric cardiologist, said during a repeat of the baby's death investigation that he was "miraculous" about his survival at the operation.
Baby Cormac returned home to Castlefin, near Lifford, Donegal, where he flourished alongside his twin Callum.
Her mother, Anne-Marie Lafferty, returned to the Notre-Dame de Crumlin Hospital with baby Cormac in September 2016 for a checkup and the doctors admitted the baby, fearing for her oxygen saturation.
Mrs. Lafferty had previously stated in the investigation that her son was smiling and happy the night before his unexpected death.
"Cormac laughed and smiled at me that night … I fed him and I went to bed. Before leaving, I saw that he was sleeping peacefully, "she said.
A nurse woke the baby to feed him at 4am on September 10th. However, the baby did not finish feeding her baby and became unstable and began to cry inconsolably, said the nurse.
Morphine was administered to help him relax.
At 4:45 am, the staff asked for help because its oxygen saturation had dropped to 55% and then to 33%. At 0620, the infant's condition deteriorated rapidly when its oxygen saturation dropped to 20%. An emergency stop call was initiated and cardiopulmonary compressions (CPR) began.
Dr. Kenny said that Cormac's desaturations were intermittent rather than persistent, and the medical team was "not quite sure what the cause was."
"When I received the call, my main concern as a cardiologist was that the shunt was a problem," said Dr. Kenny.
Efforts to save baby Cormac's life failed and he died shortly before noon on September 10, 2016.
The investigation revealed that the cause of death was related to a cardiac abnormality of the baby and aspiration of milk. The case continues Wednesday when the pathologist must appear before the coroner, Dr. Myra Cullinane.
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