Right Ventricular Wall Dissection After a Late-Presenting Inferior Myocardial Infarction

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.