Patients with aortic regurgitation (AR) usually have symptoms reflect pulmonary venous hypertension, including exertional dyspnea, orthopnea, etc. According to the recent guidelines for valvular heart disease, the indications of surgery for AR include symptomatic disease, LV systolic function, or concomitant surgery.
　　The conventional operation method for AR is trying to restore the valve competency by aortic valve repair (AVP) or aortic valve replacement (AVR). In cases of annulus involvement or diseases involving aortic root, replacement of aortic valve and aortic root en bloc or valve sparing aortic root replacement may be performed in different situations. For this particular forum, we will share our experience about isolated aortic valve surgery and concomitant surgery for AR.
　　In recent years, minimally invasive cardiac surgery(MICS) has developed rapidly. For patients with AR, MICS could be a suitable choice, especially for the isolated aortic valve surgery. I will share about the different minimally invasive approach for the aortic valve surgery, including partial sternotomy, thoracotomy, and my favor - parasternotomy.
　　Multidisciplinary, patient-centric approaches to find out the best approach for each single patient would be acknowledged in the evolving era. At least physicians need to have some sorts of consensus prior to patient-physician share division making!