E ‘an intervention now considered routine and low risk that it will face Silvio Berlusconi. After the investigations that have made possible the diagnosis of severe aortic regurgitation, it now expects the operating room: “The only way to correct this condition – announced Berlusconi’s doctor, Alberto Zangrillo – is the replacement of the aortic valve, an intervention of conventional cardiac surgery, which involves extracorporeal circulation, direct approach to the heart and replace the valve with a biological. “the” eyes “of the heart. the need for intervention cardiac surgery is related to the disorder of the aortic valve that connects the left ventricle to the aorta, that is the artery that carries blood to the whole body: “at the origin of the aorta is a valve formed by three sportelletti that look like lids that open and close synchronously with the heartbeat – explains Massimo Massetti, cardiac surgeon and director of the cardiovascular Area Policlinico Agostino Gemelli in Rome -. When the heart contracts, the sportelletti open letting the blood when the heart relaxes the sportelletti close so that blood does not come back. “Precisely because of this” disorder “the sportelletti can be damaged and then when diastole (ie the relaxation of the heart muscle) does not close and leave back the blood. “he speaks in such cases of aortic insufficiency, a condition which forces the heart to do double duty because when pushed blood forward, He comes back as a kind of reflux and thus thickens. Not only that, there is also a loss of power, like a car that loses horses “says heart surgeon. And here comes heart failure with which Berlusconi was hospitalized. The replacement valve. the only thing to do in these cases is to change the aortic valve with an open heart surgery: “you open the sternum exposing the heart and connecting the extracorporeal circulation, that is, a machine that replaces both heart lungs; so you can stop the heart, put it in security and open the aorta – explains Massetti -. At this point the three sportelletti are removed and replaced with a prosthesis that in the case of Berlusconi will certainly be organic, that is, made with Compared to mechanical ones that are constituted by two discs, biological implants have advantages: no need of anti-coagulant treatment and have a longer life. once sutured to the valve, the aorta is closed again, it restarts the heart, detaches the machine which has replaced the functions and closes the chest. “the surgery – explains Massetti – lasts a couple of hours, but a preparation is needed both before and after, therefore it is likely that Berlusconi will go into the operating room at 8 and will come out to 12″. Little risk and quick recovery. The Berlusconi’s doctor described him as an “intervention of conventional cardiac surgery.” But those are the risks of open-heart surgery? “It is a fairly simple operation and routine with a risk which is around 2% – clarifies the heart surgeon – but much depends on the age of the patient and the presence of other diseases. ” The recovery time is not long: “It ‘s very likely to remain in hospital at least for one week immediately after surgery will stand one day in intensive care and then for another 4-5 in the department for a return to normal conditions.” And the return to active politics? “He will need at least a few weeks of rehabilitation – concludes Massetti – but surely this choice will allow him to go back to having a normal life, to resume travel and also in politics but on time that his own It will suggest “body.
- Topics:
- aortic valve
- cardiac Surgery
- aortic valve replacement
- heart
- Starring:
- Silvio Berlusconi
- maximum screeds
No comments:
Post a Comment