Abstract

 
 
 Thangam and associates [1] report the case of an unfortunate elderly male with history of coronary artery disease who developed an acute myocardial infarction due to occlusion of the right coronary artery. This was complicated by the development of a ventricular septal defect and refractory heart failure requiring implantation of cardiac devices including intra-aortic balloon pump, ventricular assist device (VAD) and ultimately total artificial heart (TAH). Despite all efforts, the patient expired ~3 months after the AMI event.
 
 
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