A Case of Orthotopic Bicaval Heart Transplantation in a Patient With Peripartum Cardiomyopathy

This paper presents a clinical case of orthotopic bicaval heart transplantation in a patient with end-stage chronic heart failure that developed against the background of peripartum cardiomyopathy. The disease manifested itself in the second trimester of pregnancy, complicated by severe preeclampsia and progressive heart failure. In the absence of an available donor organ, the patient was implanted with a left ventricular assist device HeartMate 3 as a «bridge to transplantation». Four years after left ventricular assist device implantation, when a donor appeared, orthotopic heart transplantation was successfully performed. The case demonstrates the effectiveness of a multidisciplinary approach in conditions of a limited donor resource and emphasizes the need for early diagnosis, systemic prevention and development of transplantation services to improve outcomes in patients with peripartum cardiomyopathy.