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Ann Thorac Surg 2004;77:757-758
© 2004 The Society of Thoracic Surgeons

Ethics in cardiothoracic surgery

Pro

Nicholas T. Kouchoukos, MD

Presented at the Thirty-ninth Annual Meeting of The Society of Thoracic Surgeons, San Diego, CA, Jan 31–Feb 2, 2003.

The first 20% of the full text of this article appears below.

My charge in this debate is to defend the position in the scenario described that the surgeon is obligated on ethical grounds to refer the patient who desires a Ross operation to another surgeon who has achieved better results with this procedure. My remarks relate only to the specific conditions put forth in the clinical summary. As with many ethical issues in medicine, there is no clear-cut answer to this dilemma. However, I will offer an argument in support of the supposition that the surgeon has acted unethically in this situation by offering to do the procedure himself. Let us first examine the background information.

What does the patient believe and know?

The patient believes, based up information she has gathered herself, that the Ross procedure is her best option. She knows that she does not want to take oral anticoagulants during her childbearing years. She appears to know the . . . [Full Text of this Article]




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