Ethical considerations regarding heart and lung transplantation and mechanical circulatory support during the COVID-19 pandemic: an ISHLT COVID-19 Task Force statement

Are M. Holm, Mandeep R. Mehra, Andrew Courtwright, Jeffrey Teuteberg, Stuart Sweet, Luciano Potena, Lianne G. Singer, Marta Farrero, Michael A. Shullo, Raymond Benza, Stephan Ensminger, Saima Aslam

Research output: Contribution to journalEditorial

8 Scopus citations

Abstract

To understand the challenges for thoracic transplantation and mechanical circulatory support during the current coronavirus disease 2019 pandemic, we propose separating the effects of the pandemic into 5 distinct stages from a healthcare system perspective. We discuss how the classical ethical principles of utility, justice, and efficiency may need to be adapted, and we give specific recommendations for thoracic transplantation and mechanical circulatory support centers to balance their clinical decisions and strategies for advanced heart and lung disease during the current pandemic.

Original languageEnglish
JournalJournal of Heart and Lung Transplantation
DOIs
StateAccepted/In press - Jan 1 2020

Keywords

  • COVID-19
  • ethics
  • MCS
  • SARS-CoV-2
  • thoracic transplant

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