ABC | Volume 113, Nº6, December 2019

Short Editorial Moreira Complex congenital heart diseases and pregnancy Arq Bras Cardiol. 2019; 113(6):1070-1071 1. Brida M, Gatzoulis MA. Adult Congenital heart disease: Past, present and future. Acta Paediatr. 2019;10(10):1757-64. 2. Bhatt AB. Adverse delivery events in pregnant womenwith congenital heart defects: whish you easy delivery. J Am Coll Cardiol. 2019;73(17):2192-4. 3. Foeller ME, Foeller TM, Druzin M. Maternal congenital heart disease in pregnancy. Obstet Gynecol Clin N Am. 2018;45(2):267-80. 4. Pijuan-Domenech A, Galian L, Goya M, Casellas M, Ferreira-Gonzalez I, Marsal-Mora JR, et al. Cardiac complications during pregnancy are better predictedwiththemodifiedWHOriskscore.IntJCardiol.2015;195:149-54. 5. Yucel E, DeFaria Yeh. Pregnancy in women with congenital heart disease. abnormalities. Curr Treat Options CardiovascMed. 2017 Aug 22;19(9):73. 6. Drenthen W, Pieper PG, Roos-Hesselink JW, van Lottum WA, Voors AA, Mulder BJ, et al. Outcome of pregnancy in women with congenital heart disease: a literature review. J Am Coll Cardiol. 2007;49(24):2303-11. 7. Harris RC, Fries MH, Boyle A, Adeniji-Adele H, Cherian Z, KleinN, John AS. Multidisciplinary management of pregnancy in complex congenital heart disease: a model for coordination of care. abnormalities. Congenit Heart Dis. 2014;9(6):E204-211. 8. Siu SC, Colman JM, Sorensen S, Smalhorn JF, Farine D, Amankwah KS, et al. Adverse nenonatal and cardiac outcomes are more comum in pregnant women with cardiac disease. Circulation. 2002;105(1):2179‑84. 9. Avila WS, Ribeiro VM, Rossi EG, Binotto MA, Bortolotto MR, Testa C, et al. Pregnancy in women with complex congenital heart disease. A constant challenge. Arq Bras Cardiol. 2019; 113(6):1062-1069 10. Regitz-Zagrosek V, Roos-Hesselink JW, Bauersachs J, Biomström- Lundqvist C, Cifková R, De Bonis M, et al. 2018 ESC Guidelines for the management of cardiovascular disease during the pregnancy. Eur Heart J. 2018;39(34):3165-241. References This is an open-access article distributed under the terms of the Creative Commons Attribution License This issue is very relevant, since complex congenital heart disease has a very heterogeneous spectrum and few studies have evaluated whether maternal and fetal outcomes differ between the subtypes of this subgroup. More targeted studies may provide more accurate information for the counseling and better management of these patients. 1071

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