Postinfarction ventricular septal defect on catheterization table, challenging and unique occurrence at a community‐based hospital

: Ventricular septal defect (VSD), one of the major mechanical complications of myocardial infarction, portends a severe threat to life and hence demands a high degree of suspicion, appropriate investigations, and emergent repair, particularly in cases of cardiogenic shock. Although the development of VSD in extensive or anterior infarction is not unexpected, its occurrence during cardiac catheterization frames a unique, challenging experience and creates a learning opportunity. We present a patient who developed postinfarction VSD during cardiac catheterization.