{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T17:05:59Z","timestamp":1781197559231,"version":"3.54.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Papillary muscle rupture (PMR) in a rare and life-threatening complication of a myocardial infarction (MI). In our case we describe a complete percutaneous emergency management of this complication with coronary angioplasty followed to successful MitraClip repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>We report a case of a 62-year-old man with MI and severe mitral regurgitation. We performed percutaneous revascularization and intra-aortic balloon pump (IABP) was placed. After a transthoracic and transoesophageal echo evaluation, a PMR was diagnosed. Due to intractable pulmonary oedema, we proceed to emergency mitral edge-to-edge repair with two MitraClip just 2 h later. Mitral regurgitation was reduced to mild, and patient was extubated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case reports a completely percutaneous management of an MI complicated by PMR in prohibitive surgical risk patient. Emergency treatment of MI and PMR with coronary angioplasty and MitraClip is feasible and could be a bail-out option in high surgical risk patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag407","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T11:23:54Z","timestamp":1780313034000},"source":"Crossref","is-referenced-by-count":0,"title":["Fully percutaneous emergency management of an acute myocardial infarction complicated by papillary muscle rupture treated with percutaneous revascularization and mitral transcatheter edge-to-edge repair: a case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4984-4234","authenticated-orcid":false,"given":"Mauro","family":"Pennacchi","sequence":"first","affiliation":[{"name":"Department of Cardio-Thoraco-Vascular Disease, Division of Cardiology, San Camillo Hospital , Circ.ne Gianicolense 87, Rome 00152 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"De Felice","sequence":"additional","affiliation":[{"name":"Department of Cardio-Thoraco-Vascular Disease, Division of Cardiology, San Camillo Hospital , Circ.ne Gianicolense 87, Rome 00152 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amedeo","family":"Pergolini","sequence":"additional","affiliation":[{"name":"Department of Cardio-Thoraco-Vascular Disease, Division of Cardiology, San Camillo Hospital , Circ.ne Gianicolense 87, Rome 00152 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annachiara","family":"Pingitore","sequence":"additional","affiliation":[{"name":"Department of Cardio-Thoraco-Vascular Disease, Division of Cardiology, San Camillo Hospital , Circ.ne Gianicolense 87, Rome 00152 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3392-0527","authenticated-orcid":false,"given":"Domenico","family":"Gabrielli","sequence":"additional","affiliation":[{"name":"Department of Cardio-Thoraco-Vascular Disease, Division of Cardiology, San Camillo Hospital , Circ.ne Gianicolense 87, Rome 00152 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"2026061112365611900_ytag407-B1","doi-asserted-by":"crossref","first-page":"3720","DOI":"10.1093\/eurheartj\/ehad191","article-title":"2023 ESC guidelines for the management of acute coronary syndromes: developed by the task force on the management of acute coronary syndromes of the European Society of Cardiology (ESC)","volume":"44","author":"Byrne","year":"2023","journal-title":"Eur Heart J"},{"key":"2026061112365611900_ytag407-B2","doi-asserted-by":"crossref","first-page":"4635","DOI":"10.1093\/eurheartj\/ehaf194","article-title":"2025 ESC\/EACTS guidelines for the management of valvular heart disease: developed by the task force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS)","volume":"46","author":"Praz","year":"2025","journal-title":"Eur Heart J"},{"key":"2026061112365611900_ytag407-B3","first-page":"310","article-title":"Postprocedural trans-mitral gradient in patients with degenerative mitral regurgitation undergoing mitral valve transcatheter edge-to-edge repair","volume":"102","author":"De Felice","year":"2023","journal-title":"Catheter Cardiovasc Interv"},{"key":"2026061112365611900_ytag407-B4","first-page":"1461.e13","article-title":"MitraClip for papillary muscle rupture in patient with cardiogenic shock","volume":"30","author":"Wolff","year":"2014","journal-title":"Can J Cardiol"},{"key":"2026061112365611900_ytag407-B5","first-page":"E137","article-title":"Successful percutaneous mitral valve repair with the MitraClip system of acute mitral regurgitation due to papillary muscle rupture as complication of acute myocardial infarction","volume":"83","author":"Bilge","year":"2014","journal-title":"Catheter Cardiovasc Interv"},{"key":"2026061112365611900_ytag407-B6","first-page":"246","article-title":"Percutaneous mitral valve repair with MitraClip XTR for acute mitral regurgitation due to papillary muscle rupture","volume":"22","author":"Tyler","year":"2020","journal-title":"J Cardiol Cases"},{"key":"2026061112365611900_ytag407-B7","doi-asserted-by":"crossref","first-page":"926","DOI":"10.5761\/atcs.cr.13-00171","article-title":"Surgical treatment of complete anterolateral papillary muscle rupture following acute myocardial infarction","volume":"20","author":"Doi","year":"2014","journal-title":"Ann Thorac Cardiovasc Surg"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytag407\/68455632\/ytag407.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/6\/ytag407\/68455632\/ytag407.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/6\/ytag407\/68455632\/ytag407.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T16:37:06Z","timestamp":1781195826000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytag407\/8700160"}},"subtitle":[],"editor":[{"given":"Ying Xuan","family":"Gue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Mohamed","family":"Elbendary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Piera","family":"Ricci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,6,1]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytag407","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,6,1]]},"article-number":"ytag407"}}