Decision-making in complex clinical scenarios using an ethical framework: Kidney transplantation in a patient with severe left ventricular dysfunction

Abstract

Complex medical scenarios such as organ transplantation often bring up complex ethical issues for the medical practitioner. Knowledge about evidence-based medical evaluation and management combined with adhering to fundamental principles of medical ethics will go a long way in protecting the interests of all the stakeholders. Here, we discuss a complex scenario faced by our kidney transplantation team about offering transplantation for a patient with severe left ventricular dysfunction and how we used a framework of ethical principles in clinical decision-making.