A case is presented of an unusual rupture of the ventricular septum du
e to a kick from a cow. The 7-year-old boy developed acute cardiac fai
lure. The electrocardiogram showed anterior and apical myocardial infa
rction. Two-dimensional color and Doppler echocardiography revealed a
rupture of the ventricular septum. The traumatic ventricular septal de
fect was successfully closed using a right atrial approach.