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https://hdl.handle.net/10316/106837
Título: | Fertility preservation with successful pregnancy outcome in a patient with transplanted heart and non-Hodgkin's lymphoma - a case report | Autor: | Pais, Ana Sofia Guerra, Nuno Couto, Daniela Sousa, Ana Paula Almeida-Santos, Teresa |
Palavras-chave: | Pregnancy; Oocyte cryopreservation; Pelvic irradiation; Heart transplant | Data: | 19-Nov-2019 | Editora: | Springer Nature | Título da revista, periódico, livro ou evento: | BMC Pregnancy and Childbirth | Volume: | 19 | Número: | 1 | Resumo: | Background: Fertility preservation must be discussed with reproductive age women before cancer treatment. Heart transplantation raises complex issues in pregnancy. Pregnancy in a heart transplant woman after pelvic irradiation involves close multidisciplinary follow-up to avoid complications in the mother and the foetus. We report the first live birth in a heart transplant woman after pelvic irradiation, chemotherapy and fertility preservation. Case presentation: A 36-year-old heart transplant woman with pelvic non-Hodgkin lymphoma spared her fertility, with cryopreservation of oocytes and embryos, before chemotherapy and pelvic irradiation. After multidisciplinary discussion and pre-conception evaluation, pregnancy was achieved. A close follow-up by a multidisciplinary team allowed a normal pregnancy without maternal or foetal complications and the delivery of a healthy infant. Conclusions: Achieving pregnancy in heart transplant women with iatrogenic ovarian failure after oncologic treatment including pelvic irradiation is possible and can be successful. Careful and close surveillance by a multidisciplinary team is mandatory due to increased risk of maternal and foetal complications. | URI: | https://hdl.handle.net/10316/106837 | ISSN: | 1471-2393 | DOI: | 10.1186/s12884-019-2587-x | Direitos: | openAccess |
Aparece nas coleções: | FMUC Medicina - Artigos em Revistas Internacionais I&D CNC - Artigos em Revistas Internacionais |
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Fertility-preservation-with-successful-pregnancy-outcome-in-a-patient-with-transplanted-heart-and-nonHodgkins-lymphomaa-case-reportBMC-Pregnancy-and-Childbirth.pdf | 581.96 kB | Adobe PDF | Ver/Abrir |
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