Thursday, June 9, 2016

“For Berlusconi, an almost routine intervention. The age should not worry “- La Stampa



 

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” For Berlusconi, an almost routine intervention. The age should not worry “

Franco Romeo: in centers of excellence, the risks are below 2 percent. You will return to the stresses faced

the San Raffaele hospital in Milan where he is hospitalized Silvio Berluconi

” An intervention invasive but now almost routine, with mortality rates in centers of excellence that fall below 2%. Even for those who have the age of Silvio Berlusconi. ” Plays down Professor Franco Romeo, president of the Italian Society of Cardiac Surgery and director of cardiology at the University Tor Vergata in Rome. One of aortic valve replacements makes many. And why he has no doubts: “Berlusconi can debate even the stress of politics.”

READ ALSO – Cancer, pacemakers and the rest of the body restored Cape

Zangrillo:” Berlusconi wants to live 130 years “

“It ‘a person who wants to get to 130 years, for him it is an unpleasant accident. But he took it with great courage and determination. Having completed the phase of understanding of the problem has not had the slightest doubt of relying so full of our responsibility. ” So Alberto Zangrillo, the Unit Director of Anesthesia and Intensive Care General Hospital San Raffaele in Milan, told how the former Prime Minister Silvio Berlusconi took the news of having to undergo a surgery to replace the aortic valve.

http://www.lastampa.it/2016/06/09/multimedia/italia/cronache/zangrillo-berlusconi-vuole-vivere-anni-34tpgO7LhVaotEADC2EO7K/pagina.html

The aortic insufficiency diagnosis Silvio Berlusconi does it involve?

“What the valve that separates the aorta heart does not close properly, generating a regurgitation of blood to the left and then a ventriloquist overworked. A decompensation which no longer allows the valve to send circulating a sufficient amount of blood. What more stagnates in the left atrium of the heart and lung nell’alveo, creating breathing difficulties. ”

What are the risks?

“If nothing is done by replacing the aortic valve, the mortality rate by the year’s high. At least 30%. ”

How is the procedure?

“Let’s say that today is an almost routine, but it remains a major surgery . We must in fact proceed with a median sternotomy, which means sawing the sternum while the machines allow the extracorporeal circulation of blood. There are also less invasive percutaneous techniques, ie passing under the skin without opening the sternum. But it can not be provided in case of Berlusconi. ”

Why?

“Why is only possible in patients with valvular aortic stenosis calcified. The fact that you create calcifications facilitates the anchoring of the aortic valve percutaneously. But this is not the case. ”

So in your case the risks increase?

“No, remain at around 2%. But in the centers of excellence, such as that which will be operated, mortality rates go down again. ”

Zangrillo ” Berlusconi has almost died. Will serve an aortic valve transplant “

The doctor speaks to the Hospital San Raffaele in Milan, with two days of admission of the former President of the Council: “He had a serious heart failure, but wanted and exercise the right to vote. The investigations showed severe aortic insufficiency. In the middle of next week intervention, then a month of rehabilitation. crocodiles nothing: will return in better shape than before. “

Stefano Rizzi

http://www.lastampa.it/2016/06/09/multimedia/italia/zangrillo-berlusconi-ha-rischiato-di-morire-servir-un-trapianto-di-valvola-aortica-xl3qufgmEW7VhvGcu6VynN/pagina.html

Age can play against?

“Usually the replacement of the aortic valve does just around 75-80 years. I operated various nineties that have well passed the obstacle. ”

What is the course after surgery?

“It takes one to two days in intensive care. After five or six days if there are no complications patients we discharge them. Then begins the rehabilitation, which always takes place in-patient treatment in specialized centers, where the patient is subjected to exercise. After 20, maximum 30 days he will go home. ”

specific pharmacological treatment is needed?

“The president Berlusconi, given the age, will definitely implanted tissue valve that It will avoid having to go to the annoying anti-coagulant therapies. ”

How long does a tissue valve?

“They used to say 10-12 years, but now it gets even quietly at 20 ».

How long before you can resume a normal life?

“The majority of patients that I operated after a maximum of two months were already working or had resumed their normal activities. If there is the presence of other chronic diseases, as was apparently the case of Berlusconi, the recovery is total. ”

It means that he can return to do everything, even politics?

“You can also do sports, clearly avoiding excesses. But the problem of psychological stress exists for those who have had coronary problems, not for replacement of the aortic valve. So yes, from a medical point of view Silvio Berlusconi will return to politics as usual. He will still want. ”

READ ALSO – Berlusconi will be heart surgery

 

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