The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Chordae Tendineae Rupture and Iatrogenic Severe Mitral Regurgitation Related to Impella

DOI: 10.4244/EIJ-D-19-00942

1. Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States
Disclaimer:

As a public service to our readership, this article - peer reviewed by the Editors of EuroIntervention - has been published immediately upon acceptance as it was received. The content of this article is the sole responsibility of the authors, and not that of the journal or its publishers.

Please note that supplementary movies are not available online at this stage. Once a paper is published in its edited and formatted form, it will be accompanied online by any supplementary movies.

To read the full content of this article, please download the PDF. Download full article (PDF)

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

A 47-year-old man presented with witnessed out-of-hospital cardiac arrest at his wedding and anterior ST- elevation myocardial infarction. Initial blood pressure was 90/60 mmHg with pulse of 115 beats/minute. Coronary angiography showed 100% thrombotic occlusion of the proximal left anterior descending artery with Thrombolysis in Myocardial Infarction (TIMI)-0 flow, 90% disease in the proximal first diagonal, 80% disease in the small-caliber obtuse marginal-1, and 90% disease in the non-dominant mid right coronary artery (Figure 1A-C). Aspiration thrombectomy was performed with Pronto® LP Extraction Catheter (Teleflex, Inc., Wayne, Pennsylvania, USA), restoring sluggish flow. A 3.0x38 mm Xience (Abbott Vascular, Chicago, Illinois, USA) drug-eluting stent was deployed, establishing TIMI-3 flow.

Read next article

Biodegradable Polymer- versus Durable Polymer-Coated Sirolimus-Eluting Stents: The Final 5-Year Outcomes of the I-LOVE-IT 2 Trial