The person in charge of the most important Structural Heart Disease Center of public health in Milan, the flagship of the Luigi Sacco Hospital, is of Irpinia origins. His name is Maurizio Di Biasi and his father, also a doctor, was of Irpinia origins where even today Dr. Di Biasi returns to greet old friends. Graduated from Federico II of Naples. Dr. Di Biasi is Head of the Simple Operative Unit of Hemodynamics and Interventional Cardiology of the ASST FBF-Sacco. He also directs the Heart Surgery, a real jewel entirely dedicated to the diagnosis and treatment of Structural Heart Diseases located within the “Heart Center” directed by Prof. Maurizio Viecca, Director of the Cardiovascular Department of the Sacco Hospital.
The Center, inaugurated about a year and a half ago, is located in a recently renovated area of the hospital thanks to the “Un Cuore per Milano” Foundation and the commitment of Prof. Viecca and is specifically dedicated to the management of patients suffering from heart disease. structural, cardiac pathologies affecting the valves and other structures of the heart, allowing to carry out a specific and accurate selection of patients who can benefit from the most modern techniques of percutaneous invasive treatment through a correct and safe clinical and diagnostic procedure. The Center is part of the Cardiology Division, with an inpatient and common ward and UTIC equipped with a total of 37 beds, and is able to follow around 200 patients annually, to undergo or already undergo interventional cardiology procedures in two rooms of Interventional Cardiology, under an agreement with the national health system.
The pathologies affecting the valves and other structures of the heart followed in the Outpatient Clinic and the related highly complex minimally invasive interventions carried out in the Laboratory aim at the treatment of the aforementioned pathologies and are identified as: TAVI for aortic valve stenosis; transcatheter repair of mitral valve insufficiency with MitraClip and other devices; Valve in valve (VIV) interventions for degenerated aortic and mitral biological prostheses; percutaneous closure of the left auricle in patients with atrial fibrillation who cannot take anticoagulant drugs for the prevention of thromboembolic phenomena; percutaneous closure of the patent foramen ovale.
The opening of a Center dedicated to the minimally invasive treatment of structural heart disease was fundamental because it allows us to identify people suffering from various forms of structural heart disease and therefore to quickly implement the most suitable interventions for each case and to create a clinical and therapeutic path. individualized and shared with other specialists. In fact, the highly complex approach to the treatment of cardiological patients is multidisciplinary and multi-professional, as Dr. Di Biasi states: “Thanks to the interaction between cardiologists, cardiac surgeons, internists, geriatricians, nephrologists and neurologists, we can create a therapeutic strategy more and more “tailored” for each patient with the possibility of using the most technologically advanced biomedical devices in our Center that allow us to obtain the best clinical results. Periodic post-operative checks are also fundamental for us, even for those who have not operated on the Sacco, to help patients in their recovery process in order to also reduce the re-hospitalization rate thanks to “open” outpatient access for the management of home therapy ensuring continuity of care “.
Despite the pandemic, the outpatient activity not only has not stopped but has even increased, in this last year, thanks also to all the precautions that guarantee a contagion-proof environment: “The clinic has never closed – confirms Prof Viecca – also because we have created dedicated paths and adopted a series of precautions that make the patient calm during hospital access and clinical control. In addition, the hospital is spread over a large park, so there is a distance between the Center and the infectious disease pavilion of about 500 meters. But if the outpatient activity in this pandemic year has also increased in us, vice versa and as in all of Italy, hospitalizations for acute heart attack unfortunately decreased by 40-50% because patients affected by heart attack due to the fear of contagion from Covid they delay before going to hospital and when they often arrive their conditions are already serious ”.
For this reason, as Dr. Di Biasi, “it is essential to reassure the population with an invitation to go to the emergency room: do not worry and, in case of suspicious symptoms, go to the hospital without delay because any hesitation could also prove fatal for your health”.