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Exceptional Cardiac Intervention at Santa Maria Alta Scienti di Siena Hospital: a 50-year-old woman with a large thrombotic mbad in the right atrium of the heart, at risk of pulmonary and cerebral embolism , underwent minimally invasive surgery with a high-flow cardiopulmonary bypbad system, without surgical incisions, totally closed chest and beating heart.
"The thrombotic mbad – explains Mbadimo Fineschi, director of the Uoc Cardiology-Hemodynamics function – was removed with a suction cannula introduced through the right femoral vein: the blood was aspirated and then filtered, the thrombotic mbad was captured and clean blood was reintroduced into the patient by another cannula into the left jugular vein ". The intervention, performed in sedation, thanks to the presence of cardio-anesthetists led by Luca Marchetti, lasted about 2 hours
"We performed an extracorporeal circulation of about 50 minutes – adds Debora Castellani, responsible for the extracorporeal circulation service – adaptation specifically, for this type of intervention, the heart-lung machine, normally used in heart transplants and in complex cardiac surgery, which guarantees the oxygenation of the blood, maintenance of blood values, correct blood pressure, systemic infusion and protection of the heart muscle ".
The patient, entrusted to the Utic care of the Cardiology Hospital, coordinated by Rodolfo Gentilini, after a brief hospitalization, was released. "The specific nature of this intervention – concludes Gianfranco Montesi, Director of Cardiac Surgery at the AUC Senese – is also in the team's multidisciplinary nature." It's a result of the team which confirms the presence of many high-level professionals in the heart team of our hospital, which will collaborate more and more frequently with the realities of the territory of the vast South-East region. "
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