Objectives: Ruptured sinus of valsalva is considered a rare cardiac surgical condition that be result of congenital weakness of the aortic media . We like to present our experience of surgical management and post operative outcome of that condition . Methods: After reviewing our surgical record we identified 29 patients operated for Ruptured Sinus of Valsalva repair between January 2010 to December 2016. Nevertheless we had selected 11 patients as final cohort as we have complete record of hospital course with six month follow upn.The mean age was 27 ± 7.2years. The pattern of involvement of coronary sinus of Valsalva was right coronary sinus of valsalva was found to be involved in 9 patients while left coronary sinus of valsalva was involved in 2 patient and non coronary sinus of valsalva i 1 patients respectively . All the RSV were closed with patch within the aorta while double chamber exposure were required in two patients . Results: One patient developed post-op bacterial endocarditis required surgical re-intervention. While one patient required permanent pacemaker The hospital survival rate was 91% with a single mortality. Conclusions: Trans-aortic approach with single patch technique for repair of RSV has low operative mortality and morbidity with good long-term results. Keywords: Ruptured Sinus Of Vasalva , Aortic Root Complex