IntroductionCoronary artery disease (CAD) is the predominant etiology of early postoperative mortality and delayed mortality subsequent to resection of non-ruptured abdominal aneurysms. Myocardial infarction accounts for approximately 40% of all fatalities among patients who undergo aneurysm resection1. Conversely, a ruptured abdominal aortic aneurysm (rAAA) is a life-threatening condition necessitating urgent diagnosis and surgical intervention. Herein, we depict a case of acute myocardial infarction that ensued immediately after a ruptured abdominal aorta, culminating in a life-saving outcome.