Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Heart mitral stenosis severe In December 2011, the patient was admitted to the hospital for treatment of acute myocarditis caused by the flu, and now the myocarditis has been cured. It was also this hospitalization that the patient was examined for rheumatic heart disease, before which the patient had been free of discomfort I would like to know whether it is necessary to go through surgery? What kind of surgery should be performed? Is drug treatment feasible? The patient himself feels normal. According to the ultrasound data you provided, the diagnosis is clear: rheumatic heart disease with severe mitral stenosis as the main lesion. Although you currently do not feel heavy symptoms, you will have symptoms after a cold or during strenuous activity. In fact, the so-called myocarditis in December is heart failure, and the electrocardiogram is frequent atrial premature beats, which can easily turn into paroxysmal atrial fibrillation, with the risk of forming left atrial thrombus leading to peripheral vascular embolism. Our department carries out minimally invasive robotic mitral valve replacement to reduce the pain of open-heart surgery, welcome to Beijing, I will sincerely help you! If you are still hesitant about surgery, please take oral aspirin anticoagulation therapy to prevent thrombosis, and oral betalactone to control heart rate and prevent atrial fibrillation. Patient: In the ultrasound examination of the heart in the hospital, the aortic internal diameter is normal, the main wave is increased, the beat amplitude is good, and the pulmonary artery internal diameter is normal. The left atrium was enlarged. The anterior and posterior mitral valve leaflets were thickened and echogenically enhanced, and the valve body was balloon-like in diastole, and the opening was reduced and deformed, with 0.9 CO in PHT and 0.8 CO in 2D. Color showed that the diastolic mitral orifice showed a predominantly red multicolored mosaic of jets, mild regurgitation was seen in the left atrium, and mild regurgitant bundles were seen in the left ventricular outflow tract. Mild tricuspid regurgitant bundles were seen in the right atrium. Spectral Doppler showed that the diastolic sub mitral flow spectrum was a broadband filled turbulence map with prolonged pressure drop half time (PHT) and increased mean pressure difference (P) across the valve, estimated by TR method PASP: 73 mmHg, and the sampled volume was seen in the left ventricular outflow tract in the diastolic positive broadband turbulence spectrum. Examination opinion: rheumatic heart disease: severe mitral stenosis with mild closure insufficiency, mild aortic valve closure, mild tricuspid valve closure insufficiency, pulmonary hypertension (moderate). In addition: cardiac ECT examination did not show any abnormality. Ambulatory ECG: sinus rhythm Frequent multi-source premature atrial beats in duplex and triplex rhythm, occurring in pairs The patient was discharged without any discomfort and with stable blood pressure and heart rate. There was no atrial fibrillation. Neither the patient nor the family wants to treat with surgery, is there any other way? If rheumatic heart disease mitral stenosis is symptomatic or atrial fibrillation occurs, it should be treated with active surgery. Drugs can temporarily relieve the symptoms, but cannot cure the disease.