Posterior wall rupture of the left ventricle is a rare but lethal complication after mitral valve replacement. We treated a patient with repeated left ventricular rupture. Initially, type 1 left ventricular rupture was repaired in the intensive care unit, but persistent bleeding occurred after the repair. We treated the bleeding through an extended aortotomy and successfully repaired the repeated type 3 left ventricular rupture with bovine pericardium (Synovis Surgical Innovations Inc, St. Paul, MN).