Abstract
Post-myocardial infarction ventricular septal defect (PMI-VSD) is a rare but serious complication of acute myocardial infarction, characterized by a rupture in the interventricular septum. Patients typically present with symptoms of cardiogenic shock, a new systolic murmur, and heart failure. Diagnosis is confirmed through echocardiography with Doppler imaging. Management involves hemodynamic stabilization and definitive repair via surgical or percutaneous approaches. Despite advances in treatment, PMI-VSD is associated with high mortality, highlighting the importance of early detection and prompt intervention.