Abstract
A 40-year-old male presented with an inferior ST-segment elevation myocardial infarction. Multimodality imaging identified a ventricular septal defect and a right ventricular free wall dissection. He was bridged with a percutaneous microaxial left ventricular assist device to successful surgical repair. Multimodality imaging, shock team involvement, and mechanical support were critical in ensuring his survival to hospital discharge.
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