Acute myocardial infraction following blunt chest trauma due to the kick of a cow

A previously healthy 29-year-old man developed electrocardiographic evidence of an anterolateral myocardial infarction following the kick of a cow to the left precordial area. This was complicated by three episodes of ventricular fibrillation and cardiogenic shock. After five months, electrocardiographic and echocardiographic evidence of ventricular aneurysm persists (AU)