{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:50:10Z","timestamp":1782175810217,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:00:00Z","timestamp":1747180800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Pulmonary valve balloon dilation (PVBD) has largely replaced surgical decompression as the preferred treatment for neonates with pulmonary atresia with intact ventricular septum (PAIVS) or critical pulmonary stenosis (CPS). This study aims to evaluate whether echocardiographic morphological and functional assessment can predict early complications and guide intensive care management following PVBD in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed 27 neonates with PAIVS or CPS who underwent PVBD between 2017 and 2023. Patients were divided into Group A (tripartite right ventricle [RV], developed infundibulum) and Group B (bipartite RV, hypoplastic infundibulum). Echocardiographic, catheterization, and clinical data were reviewed and compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Group A had higher rates of transient left ventricular systolic dysfunction (92.9%\u00a0vs. 15.4%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) and required more ventilatory and inotropic support. Group B was more prone to infundibular spasm (76.9%\u00a0vs. 21.4%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.004) and often needed beta\u2010blockers or additional pulmonary blood flow.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Echocardiographic RV phenotype is associated with specific post\u2010PVBD complications and may help guide early post\u2010procedural management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.70182","type":"journal-article","created":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T15:39:06Z","timestamp":1747237146000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Echocardiographic Assessment of Cardiac Phenotype Predicts Complications and Guides Intensive Care Management Following Pulmonary Valve Balloon Dilation in Neonates With Pulmonary Atresia\/Critical Pulmonary Stenosis With Intact Ventricular Septum"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0761-3099","authenticated-orcid":false,"given":"Patrizio","family":"Moras","sequence":"first","affiliation":[{"name":"Perinatal Cardiology Unit Bambino Ges\u00f9 Children's Hospital IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano","family":"Pasquini","sequence":"additional","affiliation":[{"name":"Department of Maternal\u2010Fetal Medicine Policlinico A. Gemelli IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4384-5439","authenticated-orcid":false,"given":"Cosimo Marco","family":"Campanale","sequence":"additional","affiliation":[{"name":"Perinatal Cardiology Unit Bambino Ges\u00f9 Children's Hospital IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4155-4053","authenticated-orcid":false,"given":"Marco","family":"Masci","sequence":"additional","affiliation":[{"name":"Perinatal Cardiology Unit Bambino Ges\u00f9 Children's Hospital IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Ventrella","sequence":"additional","affiliation":[{"name":"Perinatal Cardiology Unit Bambino Ges\u00f9 Children's Hospital IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Di Chiara","sequence":"additional","affiliation":[{"name":"Pediatric Cardiac Intensive Care Unit Bambino Ges\u00f9 Children's Hospital IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianfranco","family":"Butera","sequence":"additional","affiliation":[{"name":"Interventional Cardiology Unit Bambino Ges\u00f9 Children's Hospital IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Toscano","sequence":"additional","affiliation":[{"name":"Perinatal Cardiology Unit Bambino Ges\u00f9 Children's Hospital IRCCS  Rome 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of levosimendan on Ventriculo\u2010Arterial Coupling and Cardiac Efficiency in Paediatric Patients With Single\u2010Ventricle Physiology After Surgical Palliation: Retrospective Study","volume":"30","author":"Iacobelli R.","year":"2020","journal-title":"Interdisciplinary CardioVascular and Thoracic 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