Post-infarct ventricular septal rupture, or PIVSR, is a severe cardiac complication that continues to have significant morbidity and mortality despite decreased prevalence due to early revascularization strategies. Mechanical circulatory support (MCS) strategies, such as venoarterial extracorporeal membranous oxygenation (VA-ECMO) and Impella, have been proposed to correct any hemodynamic instabilities and give patients more time to…