Papillary Muscle Rupture of the Mitral Valve Complicating Removal of a Permanent Transvenous Electrode

We report a patient who developed acute mitral valve papillary muscle rupture following removal of an infected permanent transvenous electrode. Of additional interest is the fact that the patient was paced from the left ventricle for 20 months after the catheter electrode had passed through a patent foramen ovale at the time of insertion.