PT  - JOURNAL ARTICLE
AU  - Boss, Renee D.
AU  - Holmes, Kathryn W.
AU  - Althaus, Janyne
AU  - Rushton, Cynda H.
AU  - McNee, Hunter
AU  - McNee, Theresa
TI  - Trisomy 18 and Complex Congenital Heart Disease: Seeking the Threshold Benefit
AID  - 10.1542/peds.2012-3643
DP  - 2013 Jul 01
TA  - Pediatrics
PG  - 161--165
VI  - 132
IP  - 1
4099  - http://pediatrics.aappublications.org/content/132/1/161.short
4100  - http://pediatrics.aappublications.org/content/132/1/161.full
SO  - Pediatrics2013 Jul 01; 132
AB  - 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.