Rupture of the myocardium is often a catastrophic complication of myocardial infarction with a poor prognosis in the short term. The occurrence of more than one myocardial rupture is a rare condition, and has been published in most cases as a necropsy finding. The purpose of this communication is to report one case of double rupture of the myocardium, diagnosed in life; and the clinical and surgical implication of such cases.