The COVID-19 pandemic decreased the hospitalizations rate for acute
coronary syndromes. The origin was multifactorial. In parallel, the
incidence of mechanical complications after acute myocardial infarction
increased. Is presented the case of a 54-years-olds female with COVID-19
and acute anterior myocardial infarction, apical aneurysm, and
interventricular septal rupture. The surgical repair consisted of
ventriculoplasty, septal rupture closure with a pericardial patch, and
it was impossible to perform coronary revascularization.