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The authors describe the association of a right ventricular pseudoaneurysm and ventricular septal rupture at the onset of an acute inferior and right myocardial infarction. The patient, a 84-year-old man, presented with cardiogenic shock and died within a few hours with electromechanical dissociation. The diagnosis was made by Echo-color flow mapping and confirmed at autopsy. The authors point out the singleness of such association and the diagnostic value of Echo-Doppler in the early assessment of the mechanical complications of myocardial infarction.
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