In this video, Dr. Sameer Shrivastava, Heads the department of Non-Invasive Cardiology at Fortis Escorts Heart Institute, New Delhi, will discuss the guidelines for intervention in a case with aortic regurgitation. Aortic regurgitation is a lesion of valves which is tolerated for a very long time. Many people are asymptomatic. Dr. Sameer will highlight the guidelines when there is a need for surgery. If the patient has a pulmonary arterial hypertension or if the heat functioning of the left ventricular ejection fraction is reducing then he is a candidate for surgery. If arrhythmias in the form of atrial fibrillation is seen and even if patient is asymptomatic, then he needs to be operated. He will also explain why only valve replacement is recommended in aortic regurgitation.