Pregnancy after heart transplant: a case report

• Tipo: Artigo em Revista Científica Nacional
• Data: 2012

Autores

Machado L (Autor) Outra; Ayres-de-Campos D (Autor) Outra; Maciel MJ (Autor) FMUP

Revista

Título: Acta Obstetrica e Ginecologica Portuguesa

Vol. 6 Nº 2

Páginas: 75-78

ISSN: 1646-5830

Editora: Federação das Sociedades Portuguesas de Obstetrícia e Ginecologia

Classificação Científica

FOS: Ciências médicas e da saúde > Medicina clínica

Outras Informações

Abstract (EN): A growing number of women of reproductive age have been submitted to heart transplants in industrialized countries, as it is an established option for end-stage cardiac disease. Pregnancy after heart transplant is discouraged in most centres, due to increased maternal and fetal morbidities consequent to the immunological and hemodynamic changes of pregnancy, as well as to the side effects of immunosuppressive therapy. We present the case report of an unplanned pregnancy in a 32-year-old primigravida, who had undergone a heart transplant six years before, due to a familial dilated cardiomyopathy. Prenatal surveillance was uneventful and a healthy infant was born at 37 weeks by cesarean section. A moderate post-partum haemorrhage requiring B-Lynch suture ensued. A transient episode of shortness of breath and cyanosis occurred on the second post-operative day. Pulmonary thromboembolism was ruled out and a spontaneous reversion of the symptoms occurred. At 18 months of age the child has a normal neuro-phsycomotor development and maternal heart function is preserved.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Notas: Machado L, Ayres-de-Campos D, Maciel MJ. Pregnancy after heart transplant: a case report. Acta Obstet Ginecol Port 2012; 6(2): 75-78