Successful pregnancy in a comorbid patient nine months after heart transplantation

The purpose — to present a clinical observation of pregnancy and childbirth following heart transplantation. Material and methods. We describe a case of successful pregnancy in a patient with a heart transplant after dilated cardiomyopathy. Results. Pregnancy after heart transplantation poses a high risk for patients. We consider a case of successful first pregnancy in a 27-year-old patient in less than a year after heart transplantation. During pregnancy, cardiac graft dysfunction was noted, which was stopped by drug therapy correction. At 35–36 weeks, an emergency caesarean section was performed, and a healthy girl weighing 2750 g and 46 cm tall was born. The pregnancy had no complications. Conclusion. The clinical case demonstrates the possibility of a favorable pregnancy outcome, despite the high risk to the patient, provided dynamic clinical follow-up with an interdisciplinary approach is performed.