A DAH was implanted in a 35-year old female patient suffering from severe aortic regurgitation after repair of a ventricular septal defect in childhood with subsequent AV block necessitating permanent pacemaker stimulation. Owing to severe histamine intolerance and the wish for a second child, she opted for AVR with a DAH. She became pregnant 3 months after the AVR and gave birth to a healthy girl. DAH function and subsequently LV function were regular during and after pregnancy up to 28 months after DAH implantation.