Patient: Description of condition (onset, main symptoms, hospital visited, etc.): female, 35 years old, lupus mitral valve redundancy, observed by esophageal ultrasound as anterior and posterior mitral valve cusps both 4mm*3mm, poor mobility, large mitral regurgitant bundle, small tricuspid regurgitant, severe mitral valve closure insufficiency with left atrial left ventricular enlargement, normal right heart internal diameter, no pericardial effusion. On August 27, 2011, he had a combination of myocardial injury assay II, lactate dehydrogenase (LDH) 250 (normal value 110-240) and alpha-hydroxybutyrate dehydrogenase (alpha-HBDH) 201 (normal value 62-140), and the other two were normal. After treatment by Wang Qian in the immunology department of your hospital, the lupus indexes have been stabilized for more than six months, and all indexes have turned negative or normal except for the antinuclear antibody (ANA) which is still positive. Right heart catheterization has been performed to exclude pulmonary hypertension. However, the mitral valve of the heart is still severely incompetent. He is currently taking aspirin, coxsartan potassium tablets (Corsoa), spironolactone tablets (Aventisone) hormone (10mg/day), morte-macrolide, hydroxychloroquine. She had no adverse cardiac reactions, no discomfort in daily life, and only experienced dyspnea at 20 weeks of pregnancy (followed by fetal arrest at 22 weeks). However, since I still want to get pregnant, I would like to know if I can have mitral valve repair surgery. Or is it necessary to replace the valve? I am currently taking 10mg of hormone daily during the stable phase of lupus, does it affect the surgery while taking hormone? The immunology department does not recommend stopping the hormones. The left ventricle has been enlarged, and now I occasionally feel pain (mild) when my heart is beating, can I come to you for surgery in the near future? Miao Qi: Hello! We have severe regurgitation with enlarged left heart and redundant valves. At present, the lupus is stable and controlled, so we suggest to operate as soon as possible and try to perform intraoperative valvuloplasty. During the perioperative period, the immunology department of our hospital can assist in adjusting the medication of internal medicine. Further consultation and treatment can be directly registered at the outpatient clinic of Peking Union Medical College Hospital (Thursday morning clinic) and can be seen on the same day. Patient: Director Miao: Thank you for your hard work in answering our patients at this late hour! I am not in Beijing, I am a patient in Shenzhen. Is there any requirement for menstrual period for heart surgery? My last period was August 25-30, and my cycle is usually 32 days. I want to come to you on September 13 to be admitted and prepare for surgery. What is the best time you suggest? Should I stop taking aspirin from the 8th? Can you reserve a bed for me directly? If you agree, I will book a ticket to come to Beijing. Miao Qi: Hello! Avoid menstruation as much as possible during the perioperative period, and you can schedule the surgery as soon as possible. Stop taking aspirin for 1 week before surgery. Patient: Hello, Director Miao! I have made an appointment for September 13, can you operate on me? I have stopped taking aspirin since the 7th of this month, because I am taking 1 capsule, it should not affect me, right? Miao Qi: Hello! Since this is my clinic, I will do the surgery. Just stop taking aspirin for 1 week before surgery, don’t be too nervous. Patient: Director Miao: Thank you for my mitral valve repair surgery! I was discharged from the hospital and returned home. My INR was 1.7 on October 2, but only 1.53 on October 6. I am taking 2 pills (6mg/day). Sorry to bother you on National Day. Miao Qi: Hello! You can continue to take 6mg orally and recheck INR in 1 week.