Penalties again proved PSV Eindhoven’s undoing on Tuesday as they tumbled out of the Champions League after being beaten in a shootout by Atletico Madrid.

PSV have laboured with spot kicks all season and, although they were much more efficient than usual at the Vicente Calderon Stadium, they lost out 8-7 after the last-16 second leg finished goalless.

The Dutch championship winners had converted only four of 12 penalties in all competitions this season before Tuesday night’s match.

Among the culprits has been Luuk de Jong but coach Phillip Cocu sprung a surprise when he withdrew the club’s top scorer with three minutes to go and brought on Luciano Narsingh.

Substitute Narsingh then became the only penalty-taker to miss in the shootout as his effort struck the crossbar.

De Jong said he was forced off by cramp.

“I couldn’t run any more,” the striker told reporters.

“I had cramp in both legs late in the match. I jumped high for a ball and everything gave in... at that stage I was finished.”