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

J Heart Lung Transplant. 2020 Jul;39(7):619-626. doi: 10.1016/j.healun.2020.04.019. Epub 2020 Apr 25.

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.

Keywords: COVID-19; MCS; SARS-CoV-2; ethics; thoracic transplant.

Publication types

  • Editorial

MeSH terms

  • Assisted Circulation / ethics*
  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / epidemiology*
  • Health Services Accessibility / ethics*
  • Heart Transplantation / ethics*
  • Humans
  • Lung Transplantation / ethics*
  • Pandemics
  • Patient Selection / ethics
  • Pneumonia, Viral / epidemiology*
  • SARS-CoV-2