caa a22 4500 47709886X CHVBK 20180405111535.0 cr unu---uuuuu 170330e19960601xx s 000 0 eng 10.1007/BF02625845 doi (NATIONALLICENCE)springer-10.1007/BF02625845 Pregnancy and uncomplicated vaginal delivery only 13 months after cardiac transplantation (case report) [Elektronische Daten] [A. Zuckermann, M. Grimm, Regine Ahner, Paul Simon, Peter Buxbaum, G. Laufer, E. Wolner] Schwangerschaft und unkomplizierte vaginale Geburt 13 Monate nach Herztransplantation (Fallbeispiel) Summary: Background: Pregnancy is prossible in female patients who underwent cardiac transplantation but is associated with unpredictable risks. Methods: A 23-year old female patient underwent cardiac transplantation because of dilatative cardiomyopathy. Results: Against our advice, she became pregnant 4 months after transplantation. Following an uneventful pregnancy, spontaneous vaginal delivery occurred 13 months after transplantation. The patient gave birth to a healthy new-born in good physical condition. Thereafter, the patient refused to attend any further routine follow-up control. 9 months after delivery, the patient was admitted to hospital in severe cardiac shock. Biopsy showed a serious, acute rejection which was treated with a course of methylprednisolone. Clinically, the patient recovered within 1 week, but died from acute myocardial infarction 1 day after discharge from hospital. Conclusions: Only women without a history of rejection episodes, with good kidney function, good graft function, and high compliance should be counselled to become pregnant. Blackwell Science Ltd, 1996 Pregnancy nationallicence cardiac transplantation nationallicence cyclosporine nationallicence Herztransplantation nationallicence Schwangerschaft nationallicence Cyclosporin nationallicence Zuckermann A. Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut Grimm M. Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut Ahner Regine Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut Simon Paul Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut Buxbaum Peter Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut Laufer G. Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut Wolner E. Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut Acta Chirurgica Austriaca Springer-Verlag 28/3(1996-06-01), 176-177 0001-544X 28:3<176 1996 28 10353 https://doi.org/10.1007/BF02625845 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02625845 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Zuckermann A. Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 700 1- Grimm M. Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 700 1- Ahner Regine Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 700 1- Simon Paul Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 700 1- Buxbaum Peter Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 700 1- Laufer G. Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 700 1- Wolner E. Division of Cardiothoracic Surgery, Department of Surgery, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 773 0- Acta Chirurgica Austriaca Springer-Verlag 28/3(1996-06-01), 176-177 0001-544X 28:3<176 1996 28 10353 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer