Ethics rounds: Trisomy 18 and complex congenital heart disease: Seeking the threshold benefit

Renee D. Boss, Kathryn W. Holmes, Janyne Althaus, Cynda H. Rushton, Hunter McNee, Theresa McNee

Research output: Contribution to journalArticle

21 Scopus citations


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. Pediatrics 2013;132:161-165.

Original languageEnglish (US)
Pages (from-to)161-165
Number of pages5
Issue number1
StatePublished - Jul 1 2013



  • Cardiac surgery
  • Decision-making
  • Ethics
  • Trisomy 18

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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