Elise knows that tragedy is nearly upon them. She devotes everything she has to one final, desperate effort. Then, the physician's exam finally begins. After everything is done, Elise's convictions about how she wants to live her life only grow stronger.
and the heart itself with a 
scalpel to remove the clot.
.وحتّى القلب نفسه بمشرط لإزالة الجلطة
y también el corazón
para retirar el coágulo.
y también el corazón
para retirar el coágulo.
e o próprio coração com um bisturi
para remover o coágulo.
и само сердце — и удалить тромб.