Abstract Ventricular rupture after mitral valve replacement has been repaired by different techniques. Most of them have been applied from the outside of the heart. Anatomical and pathological factors mitigate the success of these techniques. Successful repair with a new technique used in 2 patients is presented. Intraventricular repair permits accurate evaluation of the lesion, eliminates tension on the tissue, and allows accurate exclusion of the tear by intraventricular insertion of a pericardial patch.