Patient: left heart, enlarged right atrium, small right ventricle, no clear abnormal echogenicity detected in the heart cavity, ventricular biscuit thickness and motion are acceptable; mitral valve hemi-lobe thickening, calcification, echogenicity enhancement, especially obvious at the cusps, adhesions at the junction, thickened subvalvular tendon cords, resulting in restricted opening, diastolic valve opening area estimated at about 0.9 cm2, poor closure; aortic valve margin slightly thickened, echogenicity enhancement. The aortic valve was slightly thickened with echogenic enhancement, resulting in poor closure and fair opening. On color Doppler examination; mitral orifice flow was significantly increased in diastole; mitral valve. The aortic valve detects a small amount of regurgitation, and the tricuspid valve detects a small to moderate amount of regurgitation signal during systole. In general, the mitral valve needs to be replaced and the aortic and tricuspid valves need to be further evaluated and may also need to be shaped. If your heart rhythm is normal, radiofrequency ablation of atrial fibrillation can be performed at the same time to restore a normal sinus rhythm if possible. Your surgery may also be performed in a minimally invasive way to reduce the surgical incision and allow for a quick recovery. The most important thing is that I do not yet know what your symptoms are, what your cardiac function is, and what your systemic condition is, all of which are necessary to determine the next step of treatment, so I would like you to contact me further. You can call me during office hours, 010-88324580.