The patient was waiting for RSOV repair only but developed severe acute aortic valve regurgitation resulting in cardiogenic shock and resuscitated from cardiac arrest. Immediately was taken surgical repair and a young life saved .Rupture of Sinus Valsalva aneurysm was repaired double patch technique (7mm) and aortic regurgitation was treated by aortic valve replace ( SJM #19) @AIIMSBhubaneswarHospital