Evidence map›Paper›PMID 41563192›Full record

ArticleJACC. Case reports2026

Emergent Tricuspid Valve Transcatheter Edge-to-Edge Repair Following Papillary Muscle Rupture During Lead Extraction.

Jaejoon Jang, Amr Gamal, Asim N Cheema, Christopher J Coutinho, Daniel H Kim, John Larkin, Akshay Bagai, Yaariv Khaykin, Warren J Cantor, Mouhannad M Sadek

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jaejoon JangDepartment of Cardiac Health, Southlake Health, Newmarket, Canada.
Amr GamalDepartment of Cardiac Health, Southlake Health, Newmarket, Canada; Department of Anesthesiology and CVICU, Southlake Health, Newmarket, Canada.
Asim N CheemaDepartment of Cardiac Health, Southlake Health, Newmarket, Canada.
Christopher J CoutinhoDepartment of Anesthesiology and CVICU, Southlake Health, Newmarket, Canada; Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Canada.
Daniel H KimDepartment of Cardiac Health, Southlake Health, Newmarket, Canada; Department of Anesthesiology and CVICU, Southlake Health, Newmarket, Canada.
John LarkinDepartment of Cardiac Health, Southlake Health, Newmarket, Canada; Department of Anesthesiology and CVICU, Southlake Health, Newmarket, Canada.
Akshay BagaiDepartment of Cardiac Health, Southlake Health, Newmarket, Canada; St Michael's Terrence Donnelly Heart Centre, St Michael's Hospital, University of Toronto, Toronto, Canada.
Yaariv KhaykinDepartment of Cardiac Health, Southlake Health, Newmarket, Canada; University of Toronto, Toronto, Canada.
Warren J CantorDepartment of Cardiac Health, Southlake Health, Newmarket, Canada; University of Toronto, Toronto, Canada.
Mouhannad M SadekDepartment of Cardiac Health, Southlake Health, Newmarket, Canada; University of Toronto, Toronto, Canada. Electronic address: msadek@southlake.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransvenous lead extraction carries a small risk of vascular tears and tricuspid valve (TV) damage. CASE SUMMARY: A 68-year-old woman with dilated cardiomyopathy and a primary prevention cardiac resynchronization therapy with a defibrillator presented with device infection and was referred for system extraction. During the procedure, she developed acute hemodynamic instability due to an anterior papillary muscle rupture, resulting in a flail anterior TV leaflet and severe tricuspid regurgitation. Emergent TV transcatheter edge-to-edge repair was performed successfully within 48 hours. DISCUSSION: This is the first reported case of flail TV leaflet secondary to papillary muscle rupture during transvenous lead extraction, managed successfully with emergent transcatheter edge-to-edge repair. This case highlights the critical role of percutaneous intervention in the management of iatrogenic TV injury. TAKE-HOME MESSAGES: TV injury is a rare but life-threatening complication of lead extraction. Percutaneous valve repair is a viable option for critically ill or inoperable patients.

Indexed as

papillary musclestricuspid valvevalve repair

Identifiers

PMID41563192
PMCPMC13100530

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.