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FILE - In this Saturday, Oct. 10, 2015 file photo, Alex Zanardi, of Italy, rides during the cycling portion of the Ironman World Championship Triathlon, in Kailua-Kona, Hawaii. Race car driver turned Paralympic champion Alex Zanardi has been seriously injured again. Police tell The Associated Press that Zanardi was transported by helicopter to a hospital in Siena following a road accident near the Tuscan town of Pienza during a national race for Paralympic athletes on handbikes. The 53-year-old Zanardi had both of his legs amputated following a horrific crash during a 2001 CART race in Germany. He was a two-time CART champion. (AP Photo/Mark J. Terrill, File)