We describe care of a transgender woman with heart failure who underwent heart-kidney transplantation. Peri-operative management of hormone therapy, considerations for future gender-affirming surgeries, and psychosocial aspects of care are discussed. Interdisciplinary collaboration is essential when treating patients with advanced heart failure in the setting of gender-affirming therapies

JACC: Case Reports Editor-in-Chief 

Julia Grapsa, MD, PhD, FACC

CME Editor 

Nadeen N. Faza, MD, FACC

Author
Christopher Giuliano, MPH, PharmD

Important Dates

Date of Release: December 7, 2022
Term of Approval/Date of CME/MOC/ECME Expiration: December 6, 2023