Ethical Aspects of Fetal Heart Interventions
The treatment of fetuses with altered cardiovascular physiology due to critical valvular stenosis or atresia is a complex clinical situation involving several ethical issues. Since the indications and measurement of success of these procedures have jet to be fully established, it is important to continue evaluating the language used in clinical and in ethical discourse in order to form clear definitions that will help both parents and physicians to make the most educated decision. It is mandatory to remaind the limit of the medicine, of ethical reasoning and of language.
- 4.Boltanski L. The foetal condition: a sociology of engendering and abortion. Malden: Polity Press; 2013, chapt. 5.Google Scholar
- 16.Mavroudis CD. Foetal cardiac intervention: an ethical perspective. Cardiol Young. 2011;21:1467–7.Google Scholar
- 18.Brown SD, Truog RD, Johnson JD, Ecker JL. Do Differences in the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists Positions on the Ethics of Maternal–Fetal Interventions Reflect Subtly Divergent Professional Sensitivities to Pregnant Women and Fetuses? Pediatrics. 2006;117:1382–7.CrossRefPubMedGoogle Scholar
- 19.Arzt W, Wertaschnigg D, Veit I, Klement F,Gitter R, Tulzer G. Intrauterine aortic valvuloplasty in fetuses with critical aortic stenosis: experience and results of 24 procedures. Ultrasound ObstetGynecol 2011;37:689–95Google Scholar
- 20.McElhinney DB, Marshall AC, Wilkins-Haug LE,et al. Predictors of technical success and postnatal biventricular outcome after in utero aortic valvuloplasty for aortic stenosis with evolving hypoplastic left heart syndrome. Circulation 2009;120:1482–90.Google Scholar