Yoon Grace, Soman Teesta, Wilson Judith, George Kristen, Mital Seema, Dipchand Anne I, McCabe Jane, Logan William, Kantor Paul
Division of Clinical and Metabolic Genetics, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
J Child Neurol. 2012 Sep;27(9):1193-6. doi: 10.1177/0883073812448229. Epub 2012 Jun 29.
In this article, we describe a 14-year-old boy with a confirmed diagnosis of Friedreich ataxia who underwent cardiac transplantation for left ventricular failure secondary to dilated cardiomyopathy with restrictive physiology. His neurological status prior to transplantation reflected early signs of neurological disease, with evidence of dysarthria, weakness, mild gait impairment, and limb ataxia. We review the ethical issues considered during the process leading to the decision to offer cardiac transplantation.
在本文中,我们描述了一名确诊为弗里德赖希共济失调的14岁男孩,他因扩张型心肌病伴限制性生理学改变继发左心室衰竭而接受了心脏移植。移植前他的神经状态反映出神经疾病的早期迹象,有构音障碍、虚弱、轻度步态障碍和肢体共济失调的证据。我们回顾了在决定提供心脏移植的过程中所考虑的伦理问题。