During the coronavirus disease 2019 (COVID-19) pandmic, more patients are presenting with complications late after acute myocardial infarction. We report the case of a 71-year-old man who delayed seeking medical care for 2 weeks, despite progressive shortness of breath, cough, and tactile fever, for fear of contracting COVID-19 in the hospital. Clinical and echocardiographic evaluation revealed a ventricular septal rupture secondary to acute myocardial infarction. The patient underwent urgent cardiac catheterization, followed by successful saphenous vein grafting to the left anterior descending coronary artery and open surgical repair of the ventricular septal rupture with a bovine pericardial patch. This case highlights a potential long-lasting negative effect that the COVID-19 pandemic will have on the care-seeking behavior and health of patients with acute cardiovascular disease.

在 2019 年冠状病毒病 (COVID-19) 大流行期间，更多患者在急性心肌梗死后出现并发症。我们报告了一名 71 岁男子的案例，尽管进行性呼吸急促、咳嗽和触觉发热，但由于害怕在医院感染 COVID-19，他推迟了 2 周就医。临床和超声心动图评估显示继发于急性心肌梗死的室间隔破裂。患者接受了紧急心脏导管插入术，随后成功地将大隐静脉移植到了左冠状动脉前降支，并用牛心包补片对室间隔破裂进行了开放性手术修复。