Abstract
The incidence of myocardial rupture following an acute coronary syndrome has dramatically decreased with the implementation of early reperfusion strategies. High clinical suspicion is critical for early recognition and appropriate management of myocardial mechanical complications. Here we present an uncommon combination of left ventricular pseudo-aneurysm and ventricular septal rupture complicated with coronary sinus shunting following a non-ST elevation myocardial infarction, where modern echocardiography allowed prompt and accurate identification of the event. J Med Cases. 2015;6(2):55-58 doi: http://dx.doi.org/10.14740/jmc2005w
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