A Broken Heart

A 70-year-old male presented with an inferior wall ST segment elevation myocardial infarction and, following a primary percutaneous coronary intervention on the right coronary, was found to have an inferior ventricular septal defect (VSD) on transthoracic echocardiography (TTE) (Fig. 1A). This was repaired emergently using autologous pericardium. He subsequently developed congestive heart failure and a dehiscence of the patch in