Abstract: The number of infected cases with COVID-19 increase gradually, and some of the COVID-19 patients present with concomitant cardiovascular problems that might require surgical intervention. However, we do not have sufficient evidence of optimum timing for cardiac surgery in patients with COVID-19 whose surgery cannot be postponed or who cannot be treated percutaneously. Here we discuss the management of a patient that diagnosed with COVID-19 and required urgent cardiac surgery for symptomatic moderate aortic and severe mitral valve regurgitation.