Mind the gap: A threatening complication after myocardial infarction

∗ Corresponding author. E-mail address: pfdrodrigues@gmail.com (P. Rodrigues). The patient rapidly evolved with cardiogenic shock and a new systolic murmur. The echocardiogram revealed interventricular septal rupture with an extensive interventricular communication at the level of the posterobasal septum, associated with a serpiginous dissection of the septum, forming a neocavity, with an exit port in the mid-apical area of the right