In this chapter, we address the clinical and ethical issues that are operant in a case of an infant having severe birth defects that involve multiple organs. A single case is presented as a paradigm for alternative actions and the necessary points to consider in their evaluation, management and parental interactions.
Keywords: Prenatal diagnosis, Birth defects, Congenital heart disease, HLHS, Child’s best interests, NICU, Fetus, Health care resources, Twin gestation, Ethics, Quality of life.