TY - JOUR JO - EuroIntervention TI - Chordae Tendineae Rupture and Iatrogenic Severe Mitral Regurgitation Related to Impella AB - 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. AU - Khalid Nauman AU - Shlofmitz Evan AU - Case Brian C. AU - Waksman Ron VL - IS - Y1 - 18/02/2020 Y1 - 2020 DOI - 10.4244/EIJ-D-19-00942 SP - KW - stemi KW - mitral regurgitation KW - ventricular assist device KW - transesophageal echocardiogram PB - Europa Digital & Publishing UR - https://eurointervention.pcronline.com/article/chordae-tendineae-rupture-and-iatrogenic-severe-mitral-regurgitation-related-to-impella SN - 1774-024X ER -