Most cases of severe aortic valve insufficiency require surgery. Patients who develop severe insufficiency already have symptoms of heart failure, such as exertional dyspnea, breathlessness, and panic. In patients with aortic insufficiency, the increased volume of the left ventricle during diastole leads over time to dilatation of the left ventricle and ventricular hypertrophy, which eventually leads to decreased ejection fraction and reduced systolic function. The presence of congestive heart failure in the left ventricle is an absolute indication for surgery, and patients are advised to undergo surgery as soon as possible. In patients with severe aortic valve insufficiency, surgical treatment is currently more mature, and the prognosis of patients is improved mainly through valve replacement therapy, which has a very high success rate.