Child to Parent Kindey Transplant
A 62 year old obese business executive who developed end-stage renal failure after twenty-three years of non-insulin-dependent diabetes (type 2) has a “troubled” course on maintenance hemodialysis. Repeated infections of his vascular access site and several episodes of pulmonary edema after dietary indiscretion necessitated seven hospitalizations during the first year of dialytic therapy. Depressed over his failed rehabilitation and an anticipated delay of longer than one year for a cadaver donor kidney transplant, the patient proposes that his 22 year old daughter serve as a kidney donor. Recognizing that because both parents are diabetic, she faces a highly probable risk of becoming diabetic in later life, the daughter insists on donating her kidney to “save her father.” A consulting endocrinologist states that any child-to-parent organ transplant in a diabetic family is dangerous and unethical.
KeywordsPulmonary Edema Kidney Transplant Kidney Failure Adult Offspring Transplant Team
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