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Expert Panel Rules Out Second Heart Transplant for Naples Toddler

A bedside review found multiorgan collapse with a new brain hemorrhage, rendering re‑transplantation medically non‑viable.

Overview

  • The national Heart Team of leading pediatric cardiac specialists examined the child at Ospedale Monaldi and issued a unanimous negative opinion on re‑transplantation.
  • A donor heart identified on Tuesday night will be reassigned to other eligible pediatric recipients under national allocation rules.
  • The child remains on prolonged ECMO support approaching two months, and a ventricular assist device was deemed unsuitable due to high infection risk and active intracranial bleeding.
  • Health Ministry inspectors collected case documents at Monaldi and plan further checks in Bolzano as prosecutors pursue an inquiry with six people under investigation over alleged transport mishandling involving dry ice.
  • The family was informed of the decision; the mother’s lawyer said she has accepted that another operation will not be performed, and the regional president visited to offer support.