The shocking news: even for Bambino Gesù, little Tommaso is no longer operable.

The verdict no one wanted to hear arrives: the child who underwent surgery with the organ damaged by dry ice is ineligible for further surgery. Meanwhile, the investigation uncovers a shocking backstory: the medical team apparently left for Bolzano without the transport container.

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Naples – The news no one wanted to hear, the one everyone feared but hoped could be dispelled, arrived like an irrevocable verdict.

The child admitted to Monaldi Hospital, who survived for over fifty days attached to a machine after receiving a "burned heart," is no longer transplantable.

The last light at the end of this medical ordeal has been extinguished by the opinion of the Bambino Gesù Hospital in Rome. The hospital, contacted by the family for a desperate consultation, has issued its verdict: the child's medical condition does not allow another attempt.

Francesco Petruzzi, the family's lawyer, made the announcement during the Raitre program "Mi manda." But while the medical front is icy, the atmosphere is heating up on the judicial front: the investigation by the Naples Prosecutor's Office is uncovering a chain of alleged negligence that, if confirmed, would be beyond belief.

The shocking hypothesis: flying without the "life box"

To understand how this dramatic outcome came about, we need to rewind to December 23rd. It's Christmas Eve, and a heart is available in Bolzano for a boy just over two years old waiting in Naples. The Monaldi team sets out. But it's here, according to the investigation, that the unthinkable happens.

The theory being worked on by the Neapolitan prosecutors is disconcerting: the doctors may have taken off for Bolzano without the specific container for transporting the organ. They may have left without the necessary equipment to safeguard the life they were about to take.
How, then, was that heart transported? And above all, what was it placed in?

This is where the prime suspect comes in: dry ice. A substance at -75 degrees Celsius, much colder than regular ice, which would have burned the organ's tissue, causing it to arrive in Naples deprived of oxygen and severely damaged. That heart, despite everything, was implanted. And from that moment, the nightmare began.

The mystery of the box and the questions from the Prosecutor's Office

The investigation into negligent assault, conducted by prosecutor Giuseppe Tittaferrante under the coordination of deputy prosecutor Antonio Ricci and the supervision of chief prosecutor Nicola Gratteri, marked a turning point yesterday: the seizure of the container used for transportation.

Investigators want to get to the bottom of this. Which box was used? Was it approved? Or was it hastily recovered from the Bolzano hospital, in the frantic stages following the removal, precisely because the team lacked it? And again: who supplied that lethal dry ice? Who delivered it to the doctors, and under what procedure, if the standard protocol didn't allow for it?

These are questions that weigh heavily on the six suspects registered with the Public Prosecutor's Office. Doctors and healthcare workers were involved in various capacities in the receipt, transportation, and implantation of the organ. The charges range from failure to perform official duties to negligent assault.

The "prophetic" resignation and the arrival of the inspectors

There's another piece to this dark puzzle. It dates back to December 29th, a few days after the failed surgery and long before the case exploded in the newspapers. That day, cardiologist Giuseppe Limongelli, head of post-transplant follow-up, resigned.

Why leave a department of excellence silent? In an interview with Repubblica, the doctor hints that he holds crucial information, investigative details that could clarify the dynamics of the error.

The gravity of the situation has also stirred Rome. The Ministry of Health has sent inspectors to both Naples and Bolzano to verify procedures, while politicians, with Roberto Fico expressing solidarity, are calling for "full light to be shed on this extremely serious and painful matter."

The health boomerang

The consequences of that December night go beyond the tragedy of the individual patient. The decision to suspend the transplant service at Monaldi and the precautionary suspension of several doctors (two of whom are under investigation) represent a devastating blow to healthcare in Southern Italy.

While the culprits of an unforgivable logistical error are being hunted down, the result has rebounded across Southern Italy: a center of excellence is at a standstill, and with it the hopes of so many other families on the waiting list. But today, our thoughts are only with that child, whose future was jeopardized by a trip organized, perhaps, with too much haste and too little care.

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Comments (2)

It's truly sad to hear about this story: a child who won't be able to have a new heart because his condition is too serious. An investigation must clarify what happened and who is responsible.

Yes, it's a very worrying situation. We hope the authorities do their job and uncover the truth so that similar tragedies never happen again.

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