Patients with juvenile precordial disease are often combined with secondary aortic valve lesions that cause prolapse or regurgitation. We reviewed a total of 183 patients who underwent aortic valvuloplasty over the past 6 years for these patients with moderate or greater aortic regurgitation, including 120 cases of VSD, 23 cases of left ventricular outflow tract stenosis, 25 cases of aortic valve diastasis, and 15 cases of infective endocarditis with perforation. The surgical procedures included: aortic junctional suspension with leaflet resection, valve lengthening, single leaflet replacement with GORETEX material, single leaflet replacement with bovine pericardial material, single leaflet replacement with autologous pericardial material, triple leaflet replacement, sinotubular junctional annuloplasty + ascending aortic geared anastomosis, ROSS, ROSS + KONNO, etc. Routine postoperative cardiac ultrasound follow-up was performed from 3 months to 6 years. There were no operative deaths and the follow-up rate was 87.4%, according to which the 6-year waiver of reoperation rate was 92.5%, including 121 cases (75.6%) with mild or less (including mild) aortic regurgitation. CONCLUSION: The combination of surgical techniques of aortic valvuloplasty largely allows for growth and development while preserving cardiac function in patients with premature heart disease, a better quality of life, avoidance of reoperation, and avoidance of lifelong anticoagulation to a large extent.