Pregnancy after heart and kidney transplantation: a case report
Farnaz Ahmadi,
Farah Naghashzadeh,
Zargham Hossein Ahmadi,
Babak Sharif-Kashani,
Seyed Mohammad Reza Nejatollahi,
Shakiba Khodadad,
Seyed Mohsen Mirhossein,
Zahra Ansari Aval,
Alireza Jahangirifard,
Leila Saliminejad,
Sourena Sharif-Kashani,
Shadi Shafaghi,
Sima Noorali
Affiliations
Farnaz Ahmadi
Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Farah Naghashzadeh
Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Zargham Hossein Ahmadi
Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Babak Sharif-Kashani
Tobacco Prevention and Control Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran; Corresponding author: Babak Sharif-Kashani, Tobacco Prevention and Control Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Masih Daneshvari Hospital, Darabad Avenue, Shahid Bahonar Roundabout, Tehran 1956944413, Iran.
Seyed Mohammad Reza Nejatollahi
Hepato-Pancreato-Biliary and Transplant Surgery, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Shakiba Khodadad
Department of Gynecology Oncology, Erfan Hospital, Tehran, Iran
Seyed Mohsen Mirhossein
Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Zahra Ansari Aval
Cardiovascular Research Center, Department of Cardiovascular Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Alireza Jahangirifard
Tracheal Diseases Research Center, NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Leila Saliminejad
Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Sourena Sharif-Kashani
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Shadi Shafaghi
Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Sima Noorali
Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
Background: 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. Case presentation: 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. Conclusion: 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.
