Pregnancy after heart and kidney transplantation: a case report

TL;DR

A woman who had a heart and kidney transplant successfully gave birth after careful medical management and multidisciplinary support.

Contribution

This case report highlights successful pregnancy outcomes in a transplant recipient through coordinated care and appropriate timing.

Findings

A 24-year-old woman with a heart and kidney transplant had a successful pregnancy and delivered a healthy baby.

Multidisciplinary monitoring and proper timing contributed to the positive outcome.

The child showed normal growth and development over five years of follow-up.

Abstract

The risk of pregnancy-associated complications is considerably elevated in transplant recipients compared to the general population, and it should be managed aggressively to preserve the allograft function and avoid complications. In the present case report, we described a 24-year-old woman with a transplanted heart and kidney who got pregnant after 6 years.

A 24-year-old female who was diagnosed with congenital dilated cardiomyopathy and end-stage renal disease due to reflux nephropathy underwent combined heart and kidney transplantation. In her follow-up, she experienced pregnancy after 6 years. Afterward, a multidisciplinary team of different specialists monitored the pregnancy. After 40 weeks of pregnancy, a cesarean section was performed with obtaining a live female sex newborn with a weight of 2450 g, height of 50 cm, and Apgar score of 9, without any congenital malformations. In the follow-up, after 5 years, normal growth and development without any malformations and congenital disorders were observed.

The successful outcome of pregnancy in this woman could be due to the proper cooperation between the medical team and patient, and also the appropriate timing of pregnancy.