2025-11-272025-11-27http://hdl.handle.net/2263/105668Clinical history : A 73 year old patient presented with inferior wall myocardial infarction and a ventricular septal defect (VSD) was found.Multiple organs were affected by the VSD. The VSD caused acute right heart failure.Diagnosis: Myocardial infarction and acquired ventricular septal defect