Toronto mother Krista Stryland died from “massive blood loss” hours after a liposuction procedure performed by Dr. Behnaz Yazdanfar in 2007, says an expert medical report done for the coroner’s office.

Details of what may have caused the high-profile death were released for the first time at the launch of a disciplinary hearing into allegations that Yazdanfar committed “disgraceful, dishonourable and unprofessional” conduct in her care of 28 patients.

The provincial coroner’s office has never released its final report on the death of the 32-year-old real estate agent at the request of the Stryland family, said regional coroner Dr. James Edwards.

But the expert report, prepared by an anesthetist, is “an important component of our investigation,” he said.

No inquest was ever called into Stryland’s death.

The expert report, dated May 16, 2008, identifies “hemorrhagic shock” as the cause of death.

It concludes that while Yazdanfar’s pre-operative assessment was appropriate, there was a “major delay in getting (Stryland) into a hospital” after problems emerged.

“(Stryland’s) condition became unstable at (1:15 p.m.) and paramedics were called at (3:52 p.m.). This implies that her grave condition … was not recognized.”

Stryland’s grave condition stemmed from a “massive amount of blood loss,” the report says. It also concludes resuscitation attempts were limited.

Lawyers for the College of Physicians and Surgeons yesterday presented allegations that Yazdanfar repeatedly breached professional standards including using an “aggressive” liposuction technique that removed amounts of fat well beyond professional standards.

Lawyer Clayton Ruby, representing Yazdanfar in the hearing, said his client is the victim of a “turf dispute” between general practitioners who choose to perform lucrative cosmetic procedures and plastic surgeons looking to “secure a monopoly.”