Response to “Postoperative Outcomes of Fontan Operation in a Multicenter Italian Study”

The article “Postoperative Outcomes of Fontan Operation in a Multicenter Italian Study” by Irene Cao et al. provides valuable insights into early outcomes of the Fontan procedure. However, it highlights significant limitations, including the lack of long-term follow-up, restricting understanding of lasting patient health effects. The absence of a control group further hinders assessment of the procedure's effectiveness. Additionally, inadequate discussion of postoperative care protocols limits the study's clinical relevance. In conclusion, future research should focus on comprehensive long-term assessments and include control groups to better inform clinical decision-making regarding the Fontan procedure's impact on patient health.