eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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3/2014
vol. 11
 
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abstract:

CASE REPORTS
A second delivery after heart transplantation – a case study

Jarosław Kalinka
,
Maria Szubert
,
Andrzej Zdziennicki
,
Krzysztof Chojnowski
,
Marek Maciejewski
,
Katarzyna Piestrzeniewicz
,
Michał Zakliczyński
,
Jarosław Drożdż

Kardiochirurgia i Torakochirurgia Polska 2014; 11 (3): 339-342
DOI: https://doi.org/10.5114/kitp.2014.45688
Online publish date: 2014/10/07
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Pregnancy after organ transplantation is becoming relatively common. We present the case of a heart transplant recipient who gave birth to a second child. Despite the fact that the transplanted heart seems to adapt well to the changes caused by pregnancy, gestation in patients after heart transplantation may be complicated by hypertension, pre-eclampsia, or preterm labor. In this article, we consider the issues of preterm uterine contractions, anemia, thrombocytopenia, and several other complications in pregnant patients with transplanted hearts. We also present current opinions regarding the use of glucocorticoids as a form of preventing breathing disorders in neonates as well as breast-feeding by mothers receiving immunosuppressive agents. Pregnancies in heart transplant recipients should be considered high-risk. A second successful delivery of a healthy child remains a challenge for such patients and their doctors.
keywords:

przeszczepienie serca, ciąża, poród, leczenie immunosupresyjne
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