Trisomy 18 and complex congenital heart disease: seeking the threshold benefit.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23733790.
- Also identified by DOI 10.1542/peds.2012-3643.
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Abstract
A prenatal diagnosis of ductal-dependent, complex congenital heart disease was made in a fetus with trisomy 18. The parents requested that the genetic diagnosis be excluded from all medical and surgical decision-making and that all life-prolonging therapies be made available to their infant. There was conflict among the medical team about what threshold of neonatal benefit could outweigh maternal and neonatal treatment burdens. A prenatal ethics consultation was requested.
Medical subject headings
- Chromosomes, Human, Pair 18
- Double Outlet Right Ventricle
- Ethics, Medical
- Heart Ventricles
- Prenatal Diagnosis
- Trisomy