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Abstract
Mechanical complications after acute myocardial infarction have a very high
mortality rate on their own (40-50%), and the sum of these increases the risk
of mortality after surgical repair. In this case report, we present a patient with a
postinfarction ventricular septal defect of posterior location and early presentation
with hemodynamic stability. Subsequently, the patient presented with severe acute
mitral regurgitation plus posterior ventricular aneurysm. A surgical procedure with
successful resolution is performed. Early diagnosis, patient selection, and adequate
multidisciplinary management optimize successful outcomes. This communication
aims to expose a clinical case with these characteristics since, in the literature, there
are very few cases of living patients with these three complications who survived the
acute event and even more after surgical repair.
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