Sweden's Rikard Karlberg defeated Martin Kaymer in a play-off to win his first European Tour title after the two-time major winner squandered a three-shot lead in the Italian Open.

Kaymer looked to be in command when he cruised to the turn in 32 at Parco Reale di Monza, but dropped shots at the 10th, 13th and 14th to fall back into a nine-way tie for the lead.

Karlberg birdied three of his last five holes to set the clubhouse target after a closing 67 and saw former world No.1 Kaymer and Sweden's Jen Fahrbring join him on 19 under with birdies on 16 and 17 respectively.

Fahrbring bogeyed the 18th to drop into a seven-way tie for third before Kaymer left his birdie putt on the last inches short to ensure more than 72 holes were needed to decide the 72nd Italian Open.

Both players made par on the first extra hole before the 28-year-old Karlberg holed from 20 feet for a winning birdie when they returned to the 18th.

"I didn't want to win on his mistake, I wanted to make a birdie," said Karlberg, whose previous best finish this season was ninth in the European Masters. "To do it against Kaymer is incredible.

"On the second extra hole I had a perfect yardage and a perfect lie (in the rough) so it was quite lucky, but I hit it great and that felt nice.

"It's fantastic. Me and my wife are moving from Abu Dhabi back to Sweden, with twins on the way. A lot of things are happening this year and this is just a part of it, but it means a lot."

Mention of Abu Dhabi will bring back bad memories for Kaymer, who blew a 10-shot lead in the final round there in January at the start of a season in which he failed to qualify for the lucrative FedEx Cup play-offs.

"It was a disappointing finish to be honest," Kaymer said after a closing 70. "We made too many mistakes on the back nine. There were two or three tactical and clubbing mistakes.

"That happens sometimes but it shouldn't have happened in that situation today because you need all the help you can get. We should have been more focused. I played well all week but not on the back nine today and that has cost me the tournament today.

"You have to say well done to Rikard. He made a great birdie to win after I had my chance in the first play-off hole. I had good yardage to the flag but I didn't really release the club and give myself a good chance for birdie.

"But I don't want to take anything away from his win. He played a great final round then made a birdie to win the play-off so he deserved it today."

Sweden's Joakim Lagergren carded a flawless 63 to jump 26 places up the leaderboard into the seven-way tie for third, along with Fahrbring, English pair Matt Fitzpatrick and Danny Willett, American David Lipsky, Paraguay's Fabrizio Zanotti and Denmark's Lucas Bjerregaard.

Willett remains in second place on the Race to Dubai behind Rory McIlroy.