Ethical issues in pediatric heart transplantation are encountered daily in the work of the transplant coordinator. Issues such as use of resources in a just world, less-than-ideal candidates, and informed consent are challenges to the transplant professional. This article explores those issues using the language of ethics to analyze the conflicts they present. Resolutions will not necessarily be offered, as there are no simple answers.
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References
1.
BeauchampTLChildressJF. Principles of Biomedical Ethics.New York: Oxford University Press; 1994.
2.
CaplanAL. Equity in the selection of recipient for cardiac transplantation. Circulation.1987;75:10–19.
3.
IsersonKV. Heart transplantation: Other ethical questions. Arch Pediatr Adolesc Med.1994;148:321–322.
4.
EvansRW. Can society afford pediatric heart transplantations. J Heart Lung Transplant.1991;10:867–871.
5.
CallahanD.Reforming the health care system for children and the elderly to balance cure and care. Acad Med.1992;67:219–222.
6.
MichaelsMGFraderJArmitageJ.Ethical considerations in listing fetuses as candidates for neonatal heart transplantation. JAMA.1993;269:401–403.
7.
DaviesDDEdwardsEBBoucekMM. Heart transplant outcome in adolescent recipients is adversely affected by adult donors: An analysis of the UNOS/ISHLT Thoracic Registry. Policy and By-Law Proposals for Public Comment.Richmond, Va: United Network of Organ Sharing, 1998.
8.
DeMasoDRTwenteAWSprattEGO'BrienP.Impact of psychologic functioning, medical severity and family functioning in pediatric heart transplantation. J Heart Lung Transplant.1995;14:1102–1108.
9.
BoucekMMNovickRJBennettLEFiolBKeckBMHosenpudJD. The registry of the international society of heart and lung transplantation: First official pediatric report—1997. J Heart Lung Transplant.1997;16:1189–1206.
