Shock and Awe: Percutaneous Edge-to-Edge Repair of Post–Cardiac Surgery Severe Mitral Regurgitation Related to Papillary Muscle Tear

•We present a case of severe MR due to rupture of posteromedial papillary muscle after CABG.•The patient underwent successful edge-to-edge repair using the MitraClip device.•A subset of patients with acute MR might benefit from transcatheter repair over surgery. We present a case of severe MR due to rupture of posteromedial papillary muscle after CABG. The patient underwent successful edge-to-edge repair using the MitraClip device. A subset of patients with acute MR might benefit from transcatheter repair over surgery.