Double jeopardy: two major complications of a myocardial infarction in one patient.

A 62-year-old woman with no cardiac history was admitted to the hospital with an ambulant inferoposterolateral myocardial infarction. She experienced two major complications, namely, a free-wall rupture of the infarcted area, on which a bovine pericardial patch was glued surgically, and, a few days later, a posteromedial papillary muscle rupture, for which a mitral valve replacement was performed. She survived both complications and is now rehabilitating at home.