A new life: motherhood after heart transplantation. A single center experience and review of literature

Background Pregnancy after heart transplantation (HTx) may expose the recipient to hemodynamic and immunologic risks, and the newborn to toxic effects of immunosuppressive therapy. Adequate preconception counseling is crucial to identify optimal timing and to modify immunosuppressive therapy in order to minimize risks for both the mother and the fetus. Method We describe our experience with 12 pregnancies occurred in 11 women who had undergone HTx at our center. Results Pregnancies ran without severe complications or rejections, and none of the babies shown major defects at birth. However, as reported in the literature, weight at birth rated in lower range in most of the newborns, probably due to in utero cyclosporine exposure. Up to now, none of the babies showed clinical signs of heart disease, although more than half of the mothers had an inherited or familial cardiomyopathy. Conclusions Despite potential mother and fetal complications, successful pregnancy and delivery are possible after HTx, provided that optimum timing, close monitoring and therapy adjustments are guaranteed. Becoming a mother appears to be an important achievement for young women after HTx, even when there is the risk to transmit an inheritable heart disease. Address for correspondance: Francesca Macera: francesca.macera@ospedaleniguarda.it DISCLOSURES The authors have no conflicts of interest to disclose. AUTHORSHIP: MF, OL, MV acquired the data. MF, OL drafted the manuscript. MG, FM made critical revision for key intellectual contents. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

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