{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:10:14Z","timestamp":1756318214442,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,8,18]]},"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>Papillary Muscle rupture is a rare and potentially life-threatening complication that is typically observed in the days following acute myocardial infarction. Less commonly, rupture of a papillary muscle may arise as an iatrogenic complication of cardiac procedures. We present a case of cardiogenic shock in the setting of torrential mitral regurgitation secondary to iatrogenic papillary muscle rupture during a left ventricular angiogram. The patient was placed on percutaneous mechanical circulatory support with Impella CP and transferred for emergent mitral valve replacement. This case highlights the potential complications of minimally invasive cardiac procedures and reviews the management of acute severe mitral regurgitation.<\/jats:p>","DOI":"10.1136\/bcr-2024-261836","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T11:39:45Z","timestamp":1730288385000},"page":"e261836","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Acute torrential mitral regurgitation secondary to iatrogenic papillary muscle rupture"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6686-4555","authenticated-orcid":false,"given":"Christopher Bernard","family":"Marsalisi","sequence":"first","affiliation":[{"name":"Internal Medicine, University of Florida College of Medicine, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loruanma","family":"Lam","sequence":"additional","affiliation":[{"name":"University of Florida College of Medicine, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julien","family":"Feghaly","sequence":"additional","affiliation":[{"name":"Cardiology, University of Florida College of Medicine, Jacksonville, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinesh","family":"Kadariya","sequence":"additional","affiliation":[{"name":"University of Florida College of Medicine, Jacksonville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"key":"2025082710573554000_17.10.e261836.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.10.050"},{"key":"2025082710573554000_17.10.e261836.2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2018-313373"},{"key":"2025082710573554000_17.10.e261836.3","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/j.amjcard.2019.12.051","article-title":"Outcomes and Hospital Utilization in Patients With Papillary Muscle Rupture Associated With Acute Myocardial Infarction","volume":"125","author":"Bhardwaj","year":"2020","journal-title":"Am J Cardiol"},{"key":"2025082710573554000_17.10.e261836.4","doi-asserted-by":"crossref","unstructured":"Nishimura RA , Otto CM , Bonow RO , et al . 2017 AHA\/ACC Focused Update of the 2014 AHA\/ACC Guideline for the Management of Patients With Valvular Heart Disease: A Report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines. 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Circ: Cardiovascular Interventions 2017;10. doi:10.1161\/CIRCINTERVENTIONS.117.005050","DOI":"10.1161\/CIRCINTERVENTIONS.117.005050"},{"key":"2025082710573554000_17.10.e261836.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(00)00846-9"},{"key":"2025082710573554000_17.10.e261836.7","doi-asserted-by":"crossref","DOI":"10.1093\/ehjcr\/ytad240","article-title":"Cardiogenic shock and severe secondary mitral regurgitation successfully treated with transcatheter edge-to-edge repair: a case report","volume":"7","author":"Shabbir","year":"2023","journal-title":"Eur Heart J Case Rep"},{"key":"2025082710573554000_17.10.e261836.8","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1055\/s-0038-1676369","article-title":"The Impella Device: Historical Background, Clinical Applications and Future Directions","volume":"28","author":"Glazier","year":"2019","journal-title":"Int J Angiol"},{"key":"2025082710573554000_17.10.e261836.9","article-title":"Use of Impella device in cardiogenic shock and its clinical outcomes: A systematic review and meta-analysis","volume":"40","author":"Panuccio","year":"2022","journal-title":"Int J Cardiol Heart Vasc"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-261836","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:57:45Z","timestamp":1756317465000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-261836"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":9,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10,30]]},"published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1136\/bcr-2024-261836"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-261836","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}