Inclusion Criteria:  patients ≥ 18 years old; recent diagnosis of acute myocardial infarction; presence of ventricular free-wall rupture and/or ventricular septal rupture and/or papillary muscle rupture.  Exclusion Criteria:  patients < 18 years old; ventricular free-wall rupture or ventricular septal rupture or papillary muscle rupture not related with acute myocardial infarction.