A.V. KOLSANOVA¹, I.S. KIYASHKO¹, L.I. GULETSKAYA², M.A. TSYGANOVA², E.A. ZORINA², I.E. DUFINETS¹, O.I. LINEVA¹, A.V. SOFINA¹

 ¹Samara State Medical University, Samara

²Samara Regional Clinical Cardiological Dispensary named after V.P. Polyakov, Samara

Contact details:

Kolsanova A.V. — MD (medicine), Associate Professor of the Department of Obstetrics and Gynecology

Address: 89 Chapaevskaya St., 443099 Samara, Russian Federation, tel.: +7-937-980-54-19, e-mail: a.v.kazakova@samsmu.ru

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.

Key words: pregnancy, heart transplantation, dilated cardiomyopathy.

REFERENCES

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