In Bolzano, a cardiac surgeon reported requesting additional ice to fully cover the container with the extracted heart, as what was provided by the doctors from Naples was insufficient and had partially melted during transportation. This resulted in the heart being topped off with what internal audits at the Monaldi hospital describe as "crushed ice." When the container was opened in Naples, it was impossible to extract the heart, which had become completely encased in ice. Notably, the surgeon performing the transplant exported the heart of Domenico before ever gaining access to the box, preventing a verification of the organ's condition, which indicates an internal communication problem in the operating room.

These revelations are just the beginning of an investigation aimed at reconstructing the series of errors that led to this tragic incident. The situation highlights not only issues in medical logistics and communication but raises significant questions about the protocols in place for organ transportation and preservation. It underscores the critical need for hospitals to ensure that appropriate standards are consistently followed to avoid compromising patient outcomes in sensitive procedures like organ transplants.

Overall, this incident forms part of a growing scandal concerning transplant practices, drawing attention towards systemic flaws within healthcare management and the imperative for reform to safeguard patient welfare. As the investigation progresses, it is likely to unveil further details about the repercussions faced by involved personnel and the institutions themselves.