Aortic stenosis is the most common form of congenital left ventricle outflow tract obstruction. It may be a life threatening ductal-depen dent condition in newborns and necessitating urgent percutaneous balloon aortic valvuloplasty (BAV). Although early results of valvu loplasty are usually satisfactory, long-term follow-up show frequent incidence of gradually progressing aortic insufficiency that requires valve replacement surgery. The case report presented below concerns a young patient with a history of BAV in childhood who developed severe aortic regurgitation accompanied by combined post- and pre-capillary pulmonary hypertension