Background— aortic regurgitation in a bicuspid aortic valve is a complex entity that involves not only the semilunar valve but also the structure of the aortic root which is functionally & pathologically in a very close relationship to it. Considering repairing a bicuspid valve mandates a mindful involvement of all related structures concurrently. Here We report an interested case of both bicuspid aortic valve and mitral valve regurgitation in a patient with history of infective endocarditis, that was successfully managed by double valves repair.