Double-patch repair of left ventricular rupture after mitral valve replacement

Left ventricular rupture is a rare, but catastrophic complication of mitral valve surgery. Herein, we describe the double-patch repair technique that can be applied in case of left ventricular rupture after mitral valve replacement. Using this technique, the first pericardial patch is positioned inside the endocardium, and the second pericardial patch is positioned outside the epicardium creating a double-layer closure of the defect.