As part of the VHAC Case Presentation Series, this recorded presentation features a complex cardiovascular case involving STEMI complicated by cardiogenic shock and ischemic mitral regurgitation. We extend our sincere thanks to Dr. Moemen Eltelbany, an interventional cardiology fellow at the University of Virginia, for presenting this case and contributing to an important multidisciplinary discussion. His presentation highlights the value of case-based learning in examining c