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Surgical treatment is typically performed in the first week or two after birth in patients with low-risk factors. Bilateral pulmonary artery banding as a stage to complete repair has been offered to neonates with prohibitive early surgical risks. We present a patient with Berry syndrome who underwent initial palliation with bilateral pulmonary artery banding followed by percutaneous transcatheter ductal stent insertion which led into pulmonary valve injury and severe pulmonary insufficiency needing urgent complete surgical repair.<\/jats:p>","DOI":"10.1177\/21501351251400211","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T19:34:01Z","timestamp":1769628841000},"page":"551-556","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Complex Case of Berry Syndrome following Transcatheter Pulmonary Valve Injury"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1701-4906","authenticated-orcid":false,"given":"Mohsen","family":"Karimi","sequence":"first","affiliation":[{"name":"Section of Congenital Cardiac Surgery, University of Iowa Health Care, Stead Family Children's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(82)90284-3"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.11.058"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12055-021-01206-0"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501351241254040"},{"issue":"16","key":"e_1_3_2_6_2","first-page":"1593","article-title":"Prenatal diagnosis and management of Berry syndrome, a rare conotruncal anatomy","volume":"132","author":"Ghelani SJ","year":"2015","unstructured":"Ghelani SJ, Quinonez LG, Rathod RH. 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