Thank you for your interest in our article “Current practice of care for adolescent and adult patients after Fontan surgery in Poland” [1]. Indeed, we believe that a formalized surveillance approach for Fontan patients is crucial to providing optimal care for those patients. This approach should aim at preventing Fontan circulation failure and extending patient survival. We appreciate the positive evaluation of our efforts [2].

We would like to emphasize that our study aimed to evaluate the current practice of care for Fontan patients in Poland using a multicenter survey, and we did not assess the clinical data of Fontan patients or their treatment. We obviously agree that in failing Fontan patients, heart transplantation is both the ultimate, but very complex, procedure with promising results when successful.

We follow, with great appreciation, progress in the field of heart transplantation in failing Fontan patients in Poland, which in adults often has to be performed with simultaneous liver transplantation. We would like to congratulate the team from the Silesian Center for Heart Diseases for their pioneering efforts and for performing an impressive number of heart transplantations in this extremely challenging group of patients. We agree with the authors of the letter that an experienced transplant center should be an essential element in the network of coordinated care for patients after Fontan surgery.

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Conflict of interest: None declared.

Funding: None.

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