Central MessageTraumatic aortic regurgitation resulting from the avulsion of pledgeted sutures following papillary muscle relocation requires careful attention.See Commentary on page XXX. Traumatic attention. See Papillary (PM) is a subvalvular procedure in mitral valve repair (MVr) to treat ischemic (MR). A 69-year-old woman had previously undergone percutaneous coronary intervention for acute...