Traumatic ventricular septal defect after a kick by a cow.

A case is presented of an unusual rupture of the ventricular septum due to a kick from a cow. The 7-year-old boy developed acute cardiac failure. The electrocardiogram showed anterior and apical myocardial infarction. Two-dimensional color and Doppler echocardiography revealed a rupture of the ventricular septum. The traumatic ventricular septal defect was successfully closed using a right atrial approach.