This case involves a male patient who underwent orthopedic surgery for a spine condition. He was re-admitted due to wound dehiscence and underwent an additional surgery to repair the wound. The patient had a past medical history of atrial fibrillation and was on Coumadin. He was left without Coumadin in the post-surgical phase. He ultimately went on to suffer an occlusion of his coronary artery, which caused a significant myocardial infarction with septal defect all requiring open heart surgery, as well as an ischemic stroke.