The effectiveness of the child’s treatment and the degree of ultimate recovery are determined by the degree of aortic regurgitation and prolapse at the time of the child’s visit. For children with combined mild aortic valve insufficiency, after repairing the ventricular defect and doing subvalvular reinforcement, the problem of aortic valve insufficiency will disappear or only slight regurgitation will remain; after a long period of observation, the condition will basically not be aggravated and there will be no impact on the child’s growth and development. The overall result is very good. For children with moderate to severe aortic valve insufficiency or aortic valve prolapse, the treatment is more difficult and requires aortic valvuloplasty. With this type of surgery, the long-term results are also not ideal and require long-term follow-up, with most children needing reoperation after 10 to 15 years. Reoperation includes both valvuloplasty and valve replacement options, but either approach will have a significant impact on the child, especially since valve replacement requires lifelong anticoagulation and the child’s survival rate will be much lower than that of a normal child. Therefore, parents must pay attention to the fact that once a child with ventricular defect is found to have aortic valve closure insufficiency, it must be treated actively, otherwise, when the aortic valve closure insufficiency becomes more and more severe, there will be little room left for the doctor to treat the child, and everyone will be more passive. Is the surgery risky? What is the approximate cost of surgery? At our center, there is no additional risk for ventricular defect repair with a small incision on the right side, so parents should not worry too much. As for the cost of the surgery, it costs 35,000~40,000 for the whole procedure. Children from rural areas and urban low income families can apply for fund assistance to reduce part of the treatment cost and ease the financial burden of parents. What should I pay attention to after surgery for ventricular defect combined with aortic valve insufficiency? For these children, they can usually be discharged from the hospital about 1 week after surgery. They should take strong diuretics for 1 month after surgery as prescribed by the doctor, and then the next treatment plan will be decided based on the ultrasound results after 1 month. For children with combined moderate to severe regurgitation or larger ventricular defects, the duration of medication may have to be extended to 3-6 months to facilitate the recovery of cardiac function. After that, parents should pay attention to the issue of review. These children should preferably be reviewed once a year to observe whether there is prolapse of the aortic valve and regurgitation and whether the degree of regurgitation has evolved, because the aortic valve problem may worsen in some children as they grow older, and must be closely monitored. In addition, parents should be careful when feeding their children not to let them eat too much fat in the early postoperative period, which can easily increase the heart load and affect their recovery; the activity level should also be increased slowly and moderately, preferably six months or one year after the surgery before gradually increasing the activity level. Will my child’s growth and development be affected after the surgery? Many parents worry that their child will have scoliosis or spinal deformity as a result of the small right-sided incision surgery. In fact, parents can rest assured that, based on our years of clinical experience, right-sided mini-incision surgery will not have an adverse effect on the spine. However, it is important to note that after returning home from surgery, some children may involuntarily bend their bodies to the side of the incision to alleviate post-operative discomfort due to the slight pain of the incision, which may lead to thoracic deformity over time. Therefore, parents should pay attention to their children and correct their posture in time to ensure their normal development. Finally, it is important to emphasize to parents that the problem of aortic valve insufficiency is very important, and once the ventricular defect is combined with aortic valve insufficiency, it must be treated with surgery as soon as possible. In addition, for sub-stem ventricular defects and intra-crural ventricular defects, which are prone to combined aortic valve insufficiency, active surgery is required even if there are no aortic valve problems yet. Some parents are afraid that their children are too young and will suffer from surgery, hoping to wait until they are older before treating them, but parents may not know that while their children are growing up, their condition is also worsening, and by then they may not even be able to solve the problem with surgery, and the remaining heart problems will affect their children for the rest of their lives. Therefore, parents must be aware that pediatric precardiac disease can be cured, but it needs to be detected early and operated at the right time so that the child can get the maximum benefit. With the close cooperation of the parents, our team is confident and will do all we can to return a healthy heart to the child.