A successful pregnancy outcome in a patient with previous heart-lung transplantation is reported. A 22-year-old primigravid woman received heart-lung transplantation for Eisenmenger's ASD and conceived 22 months postoperatively. She had been continuously treated with cyclosporine, azathioprine and prednisone during pregnancy. Her antenatal course was uneventful. At 39 weeks' gestation, she developed leakage of amniotic fluid and went into spontaneous labor. She vaginally delivered a 2,550 g male infant by elective forceps extraction, with Apgar scores of 8 and 9 at 1 and 5 minutes, respectively. Mother and baby had an uneventful postpartum course.
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