This video demonstrates post-repair clips with the appearance of a newly compressed coronary sinus. The next clip shows a transgastric mid-papillary view with a haematoma in the inferoseptal region of the myocardium with adjacent clotted blood. The last two clips demonstrate the LV rupture with colour-flow Doppler. LV: left ventricle. View Video 2 at http://movie-usa.glencoesoftware.com/video/10.1530/ERP-15-0026/video-2.