2 weeks before admission	A 76-year-old man presented with ST-elevation inferior wall myocardial infarction and received thrombolytic therapy in a hospital without primary PCI facilities.
Presentation at admission	He presented with typical chest pain (exertional dyspnoea New York Heart Association Class III).
Examination at admission	The patient was haemodynamically stable. A harsh pansystolic murmur was appreciated on his left parasternal area.
Transthoracic echocardiogram and transoesophageal echocardiogram after admission	Echocardiogram demonstrated akinetic inferior wall and inferior septum with an ejection fraction (EF) of 45%. A large, true aneurysm was observed in the mid-inferior wall. The inferior septum was ruptured and dissected with a large left-to-right shunt.
Procedure done after 3 days from admission	The patient was considered a high surgical risk. Transcatheter closure of both the post-infarct ventricular septal defect and inferior wall aneurysm was done using two Amplatzer septal occluder devices.
6 days in intensive care unit (ICU)	The patient recovered uneventfully within 6 days in the ICU.
Coronary revascularization after discharge from ICU	The patient underwent complete revascularization of his right coronary artery, left main artery, proximal left anterior descending artery, and Ramus intermedius.
After 5 days	The patient discharged home in a good condition.
Follow-up after 3 months	The patient remained well with reasonable exercise tolerance. A repeat transthoracic echocardiography demonstrated no flow across the devices, with no residual shunt and an EF of 45%.