PMID- 23498823 OWN - NLM STAT- MEDLINE DCOM- 20130830 LR - 20211021 IS - 1873-2623 (Electronic) IS - 0041-1345 (Print) IS - 0041-1345 (Linking) VI - 45 IP - 2 DP - 2013 Mar TI - Pregnancy-related human leukocyte antigen sensitization leading to cardiac allograft vasculopathy and graft failure in a heart transplant recipient: a case report. PG - 800-2 LID - S0041-1345(12)01330-9 [pii] LID - 10.1016/j.transproceed.2012.10.038 [doi] AB - In this report, we present a heart transplant recipient who developed cross-reactive paternal and donor-specific human leukocyte antigen (HLA) class II antibodies during pregnancy, leading to accelerated cardiac allograft vasculopathy and severe allograft dysfunction 17 years after transplantation. This resulted in acute heart failure and ventricular arrhythmias requiring repeat heart transplantation. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Ginwalla, M AU - Ginwalla M AD - Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California 94305, USA. FAU - Pando, M J AU - Pando MJ FAU - Khush, K K AU - Khush KK LA - eng GR - K23 HL091143/HL/NHLBI NIH HHS/United States PT - Case Reports PT - Journal Article PL - United States TA - Transplant Proc JT - Transplantation proceedings JID - 0243532 RN - 0 (HLA Antigens) RN - 0 (Immunosuppressive Agents) RN - 0 (Isoantibodies) SB - IM MH - Adult MH - Arrhythmias, Cardiac/immunology MH - Cardiomyopathies/*surgery MH - Coronary Angiography MH - Coronary Artery Disease/diagnosis/*immunology/surgery MH - Cross Reactions MH - Female MH - Graft Rejection/diagnosis/*immunology/surgery MH - HLA Antigens/*immunology MH - Heart Failure/immunology MH - Heart Transplantation/adverse effects/*immunology MH - Histocompatibility MH - Histocompatibility Testing MH - Humans MH - Immunosuppressive Agents/therapeutic use MH - Isoantibodies/*blood MH - Pregnancy MH - Reoperation MH - Time Factors MH - Treatment Outcome PMC - PMC4451164 MID - NIHMS695147 EDAT- 2013/03/19 06:00 MHDA- 2013/08/31 06:00 PMCR- 2015/06/02 CRDT- 2013/03/19 06:00 PHST- 2012/06/30 00:00 [received] PHST- 2012/10/08 00:00 [revised] PHST- 2012/10/16 00:00 [accepted] PHST- 2013/03/19 06:00 [entrez] PHST- 2013/03/19 06:00 [pubmed] PHST- 2013/08/31 06:00 [medline] PHST- 2015/06/02 00:00 [pmc-release] AID - S0041-1345(12)01330-9 [pii] AID - 10.1016/j.transproceed.2012.10.038 [doi] PST - ppublish SO - Transplant Proc. 2013 Mar;45(2):800-2. doi: 10.1016/j.transproceed.2012.10.038.