Related Experiment Video
Updated: Oct 23, 2025

An Efficient and Simple Method to Establish NK and T Cell Lines from Patients with Chronic Active Epstein-Barr Virus Infection
Published on: March 30, 2018
Two cases of pregnancy after achieving complete remission of chronic active Epstein-Barr virus infection
Nanayo Sasagasako1, Aiko Kakigano1, Chizuko A Kamiya1
1Department of Obstetrics and Gynecology, National Cerebral and Cardiovascular Center, Suita, Japan.
Insights
Chronic active Epstein-Barr virus (CAEBV) can cause cardiovascular issues. Pregnant women with CAEBV history need careful cardiovascular monitoring during pregnancy and postpartum for optimal outcomes.
Area of Science:
- Cardiology
- Infectious Diseases
- Obstetrics & Gynecology
Background:
- Chronic active Epstein-Barr virus (CAEBV) infection can manifest with persistent infectious mononucleosis-like symptoms.
- CAEBV is associated with an increased risk of developing cardiovascular diseases.
Observation:
- Two pregnant women with histories of CAEBV and pre-existing cardiovascular conditions were studied.
- One patient experienced decreased left ventricular ejection fraction (LVEF) during pregnancy, necessitating early delivery.
- The second patient developed superimposed preeclampsia, requiring cesarean section.
Findings:
- Pregnancy can exacerbate underlying cardiovascular conditions in CAEBV patients.
- Cardiovascular function, such as LVEF, may improve postpartum.
- Pulmonary arterial hypertension (PAH) in one patient did not worsen during pregnancy or postpartum.
Implications:
- Women with CAEBV require thorough preconception cardiovascular evaluations.
- Close cardiovascular monitoring and management are crucial throughout pregnancy and the postpartum period for CAEBV survivors.
- This highlights the importance of multidisciplinary care for pregnant women with a history of CAEBV and cardiovascular complications.
Abstract:
Chronic active Epstein-Barr virus (CAEBV) infection characterized by persistent infectious mononucleosis-like symptoms can lead to cardiovascular diseases. We encountered two pregnant women with CAEBV histories complicated with cardiovascular diseases. A 36-year-old woman with a history of myocardial infarction due to CAEBV and coronary artery bypass grafting became pregnant. Her left ventricular ejection fraction (LVEF) decreased, and cesarean section was performed at 36 weeks of gestation. Her LVEF recovered after delivery. A 32-year-old woman with a history of CAEBV and chronic hypertension was diagnosed with mild pulmonary arterial hypertension (PAH) after conception. She strongly desired to continue the pregnancy. She became complicated with severe superimposed preeclampsia at 31 weeks of gestation, and cesarean section was performed. Her PAH did not deteriorate during pregnancy or the postpartum period. Women treated for CAEBV, even with complete remission, require a preconception evaluation focused on the cardiovascular system and careful management of their pregnancy.
Related Concept Videos
Development of Immunocompetence
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Retrovirus Life Cycles
Immunological Memory
What is Immunological Memory?
Immunological memory is an integral function of the immune system that allows it to recognize and react more rapidly and effectively to pathogens previously encountered. This feature...
Pulmonary Tuberculosis II
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Acute Kidney Injury III: Clinical Manifestations

