title: Papillary muscle rupture: first report of this complication in a retrograde transfemoral aortic valve implantation.
abstract: We report a not previously described complication in a retrograde transcatheter aortic valve implantation procedure: A fatal rupture of a papillary muscle producing massive regurgitation. We found papillary muscle head calcification as an anatomical substrate that could facilitate this complication.
authors.affiliation: Unidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital Universitario Marques de Valdecilla, Santander, Spain. he1thj@humv.es
authors.forename: Jose M
authors.initials: JM
authors.lastname: de la Torre Hernandez
authors.forename: Gonzalo Martin
authors.initials: GM
authors.lastname: Gorria
authors.forename: Jose A Vazquez
authors.initials: JA
authors.lastname: de Prada
authors.forename: Javier
authors.initials: J
authors.lastname: Zueco
mesh_terms: D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000150:complications / Q000628:therapy*; D002114:Calcinosis / Q000150:complications; D006328:Cardiac Catheterization / Q000009:adverse effects*; D009202:Cardiomyopathies / Q000150:complications; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D010210:Papillary Muscles / Q000293:injuries