9Hq4c)
            I   State of Ohio,
                                             SS:
            2   County of Lake.
            3                             - -  -

            4                IN THE COURT OF COMMON PLEAS

            5                             - -  -

            6   Victor Bukky, Admr. of the
                Estate of Victoria L. Bukky,
            7
                                  Plaintiff,
                                                  )Case No. 90 CV 001435
                       VS.
            9                                     )Judge Parks
                Lake Hospital  System,  et  al.,
            10
                                  Defendants.
            11

            12                            - -  -
            13                   OBJECTION TRANSCRIPT
            14           DEPOSITION OF WILLIAM BAUMAN, M.D.
            15               WEDNESDAY, DECEMBER 16, 1992
            16                            - -  -
            17  The deposition of William Bauman, M.D., a witness
            is  herein, called by the Defendant for examination
            19  under the Ohio Rules of Civil Procedure, taken
            20  before me, Ivy J. Gantverg, Registered Professional
            21  Reporter and Notary Public in and for the State of
            22  Ohio, by agreement of counsel and without further
            23  notice or other legal formalities, at 55 Arch
            24  Street, Akron, Ohio, commencing at 4:10 p.m., on the
            Is  day and date  above  set  forth.


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           1  It is a very major artery that runs down the entire
              front part of the heart and provides the great
           3  majority of blood flow to the left ventricle, which
           41 is responsible for pumping blood to the body.
           51 Q.     How important is the left anterior  descending
           61 artery of the heart in terms of a patient's risk  for
           7@ premature or sudden death?
           8  A.     The left anterior descending artery, a
           9  blockage in this location would obviously impair
         10   blood flow to a large number of blood vessels
         ii   downstream from r-he blockage.
         12          The only thing worse would be a blockage of
         13   the main artery, which would interfere with blood
         14   flow to the circumflex artery and the left anterior
         15   descending artery.
         16          So it is number two in terms of severity of
         17   problems.
         18   Q.     Could you perhaps use some of our diagrams  to
         i9   describe in a little bit more detail what is done
         20   with a balloon angioplasty procedure; when is it
         11   indicated, and how is it actually performed?
         22                 MR. KENNEDY: I am going to  object,  it
         23          is something we haven't been into prior to
         24          today, the balloon angioplasty, but  certainly
         25          proceed.


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           1  A.     This is a diagram taken from one of our
           2  teaching booklets that deals with coronary
           3  angioplasty, Defendant's Exhibit E.
           4         This shows the blood flow through an artery
           5  that has become narrowed (indicating).  There  is
           6  cholestercl plaque, which dents the artery from
           7  below, and dents the artery from above, so  blood
           8  flow must narrow to get through the blockage.
           9         This is a description of the balloon catheter
         10   that has been put into the area of narrowing.
         11          And then the balloon is expanded in  these
         12   diagrams (indicating).
         13          And then finally at the end, the artery is
         14   open, or has been dilated with the balloon.
         15   Q.     I believe we have some other blowups  that
         16   might also help illustrate the balloon angioplasty
         17   technique.
         18                 MR. KENNEDY:  Objection.
         19   A.     This is a larger scale diagram.  Here you see
         20   the wall of the arter-y, here you see what is
         21   described as -- what is pictured as a yellow fatty
         22   material, which would be a cholesterol plaque, that
         23   narrows the artery both from below, and also from
         24   above.  And this is r-he balloon chat has been passed
         25   through the blockage, and then inflation of  that


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                                                                        1 '7

              balloon is needed to expand or compress the area of