Related Experiment Video
Updated: Aug 6, 2025

Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
Management of pregnancy in left ventricular assist device and heart transplant recipients: a concise review
Stefanie Marek-Iannucci1, Patricia Uber, Indranee Rajapreyar
1Division of Cardiology, Jefferson Heart Institute, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Purpose Of Review:
Women of reproductive age are increasingly undergoing heart transplantation (HT) or left ventricular assist device (LVAD) implantation for advanced heart failure. This review is intended to give an overview of the current state of the art management of pregnancy in patients with LVAD or HT recipients.
Recent Findings:
Heart transplant recipients are at increased risk for graft rejection, renal dysfunction, preeclampsia and worsening of comorbidities (hypertension and diabetes). Patients with LVAD are at higher risk of thromboembolic events, infections, right ventricular failure and require close surveillance during pregnancy. Preconception counseling must be offered to all women of reproductive age group with HT or LVAD to avoid unplanned pregnancies.
Summary:
A multidisciplinary approach with close antepartum and postpartum surveillance is recommended.
Related Concept Videos
Cardiomyopathy V: Interprofessional Care
Mitral Valve Prolapse III: Nursing Management
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Cardiomyopathy II: Dilated Cardiomyopathy
Heart Failure VI: Adjunct Therapies
Cardiomyopathy III: Hypertrophic Cardiomyopathy

