{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:22:26Z","timestamp":1787775746350,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Pregnancy following heart transplant (HT) surgery poses a high risk to the patient, and limited data are available on practices for post-HT pregnant patients. We report a case of a 34-year-old female patient in her 20th week of pregnancy, diagnosed with restrictive cardiomyopathy at 20 years of age. An HT procedure was performed 5 years ago on the patient. The patient had multiple miscarriages and in-vitro fertilization in 2021. The patient presented in the 20th week of gestation with shortness of breath and delivered prematurely via cesarean section. The procedure was successfully performed under spinal anesthesia with no complications, and the patient was stable. Implementing a multidisciplinary team in managing such challenging cases would further improve anesthesia management in the future.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sja.sja_523_22","type":"journal-article","created":{"date-parts":[[2022,12,22]],"date-time":"2022-12-22T08:16:27Z","timestamp":1671696987000},"page":"97-100","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A successful pregnancy and delivery after heart transplantation"],"prefix":"10.4103","volume":"17","author":[{"given":"Abdullah","family":"AlRaffa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samahir","family":"AlJubairy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara J.","family":"Alwatban","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-19-20240909","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/0002-9378(88)90035-X","article-title":"Successful pregnancy and vaginal delivery after heart transplantation","volume":"158","author":"L\u00f6wenstein","year":"1988","journal-title":"Am J Obstet Gynecol"},{"key":"R3-19-20240909","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1111\/j.1471-0528.1998.tb10133.x","article-title":"Pregnancy after heart or heart-lung transplantation: A series of 10 pregnancies","volume":"105","author":"Troch\u00e9","year":"1998","journal-title":"Br J Obstet Gynaecol"},{"key":"R4-19-20240909","doi-asserted-by":"crossref","first-page":"1592","DOI":"10.1111\/j.1600-6143.2005.00969.x","article-title":"Women's Health Committee of the American Society of Transplantation. Reproduction and transplantation: Report on the AST Consensus Conference on Reproductive Issues and Transplantation","volume":"5","author":"McKay","year":"2005","journal-title":"Am J Transplant"},{"key":"R5-19-20240909","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1016\/j.healun.2010.05.034","article-title":"International Society of Heart and Lung Transplantation Guidelines. The International Society of Heart and Lung Transplantation Guidelines for the care of heart transplant recipients","volume":"29","author":"Costanzo","year":"2010","journal-title":"J Heart Lung Transplant"},{"key":"R6-19-20240909","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1053\/j.semperi.2014.04.022","article-title":"Management of pregnancy in the post-cardiac transplant patient","volume":"38","author":"Abdalla","year":"2014","journal-title":"Semin Perinatol"},{"key":"R7-19-20240909","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.healun.2019.11.018","article-title":"Pregnancy outcomes in women with cardiothoracic transplants: A systematic review and meta-analysis","volume":"39","author":"Acuna","year":"2020","journal-title":"J Heart Lung Transplant"},{"key":"R8-19-20240909","first-page":"993","article-title":"Immunosuppressive therapy, management, and outcome of heart transplant recipients during pregnancy","volume":"12","author":"Wagoner","year":"1993","journal-title":"J Heart Lung Transplant"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_523_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:41:12Z","timestamp":1787773272000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_523_22"}},"subtitle":["The first case report in Saudi Arabia"],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_523_22","relation":{},"ISSN":["1658-354X"],"issn-type":[{"value":"1658-354X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}