Re-evaluating a Prenatal Do Not Attempt Resuscitation Order in a Neonate With Ebstein’s Anomaly: A Case Report Highlighting Ethical Flexibility in Neonatal Care

Ebstein's anomaly is a rare congenital heart defect with a variable prognosis. This report presents a male neonate with a prenatal do not attempt resuscitation (DNAR) order due to a presumed poor prognosis from complex congenital heart disease (CHD). Unexpected postnatal stability led to a re-evaluation of the diagnosis and the reversal of the DNAR status to full support. This case highlights the importance of dynamic assessment, multidisciplinary collaboration, and ethical consideration in neonatal care decisions.

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Publication Details

Journal
Cureus
Published
2025-10-18
DOI
https://doi.org/10.7759/cureus.94890
Primary Topic
Congenital Anomalies and Fetal Surgery
Type
article
Field-Weighted Citation Impact
0.00

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article

Re-evaluating a Prenatal Do Not Attempt Resuscitation Order in a Neonate With Ebstein’s Anomaly: A Case Report Highlighting Ethical Flexibility in Neonatal Care

Atheer Alhalawi
Cureus
Congenital Anomalies and Fetal Surgery
article

Re-evaluating a Prenatal Do Not Attempt Resuscitation Order in a Neonate With Ebstein’s Anomaly: A Case Report Highlighting Ethical Flexibility in Neonatal Care

Atheer Alhalawi
article en

Abstract

Ebstein's anomaly is a rare congenital heart defect with a variable prognosis. This report presents a male neonate with a prenatal do not attempt resuscitation (DNAR) order due to a presumed poor prognosis from complex congenital heart disease (CHD). Unexpected postnatal stability led to a re-evaluation of the diagnosis and the reversal of the DNAR status to full support. This case highlights the importance of dynamic assessment, multidisciplinary collaboration, and ethical consideration in neonatal care decisions.

CureusVol. 17(10)
King Faisal Specialist Hospital & Research Centre (SA)
King Faisal Specialist Hospital and Research Centre
Openalex Percentile: Top 53%
Congenital Anomalies and Fetal Surgery
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