Left ventricular rupture is a dreaded complication usually associated with myocardial infarction due to loss of myocardial integrity. Very few are linked with valve surgery. These are inherently unstable and unpredictable, therefore require early detection, prompt assessment and rapid management. Intraoperative transesophageal echocardiography plays a vital role not only for early detection but also for decision making regarding conservative management or surgical repair. The authors enumerate the clinical experience of 3 patients of left ventricular rupture following MVR and their prompt management. Here, we describe the review of left ventricular (LV) rupture after mitral valve replacement (MVR).