Patient: Chest tightness when walking up stairs, heavy objects, and long distances, and an uncomfortable sensation in the esophagus when eating. He also had hypertension in the past. Laboratory tests were performed at two hospitals on 2008/4/10, but the results were inconsistent. The following are the results from the local hospital: Ultrasound description: The left atrium and left ventricle are enlarged, and the septum and posterior wall of the left ventricle are not thick, with reverse motion and normal activity. There is no thickening of the septum and posterior left ventricular wall, and the motion is normal. The structures of the heart are continuous and intact. CDFI: regurgitant signal was seen in the left atrium during systole, CW estimated regurgitant velocity V3.9m/s, transvalvular pressure difference 61mmHg. regurgitant signal was seen in the left outflow tract during diastole, CW measured regurgitant velocity V3.4m/s, transvalvular pressure difference 46mmHg. ultrasound: mitral valve posterior leaflet prolapse mitral valve insufficiency (medium) left atrial enlargement aortic valve insufficiency (mild). I only take the usual blood pressure control medication, is it better to treat with medication or surgery? I don’t know how big the risk is? How long does it take to recover after surgery? What are the after-effects? What is the cost of the surgery? My only concern is that the surgery will fail. What are the consequences? Thank you for replying to this question in your busy schedule. Thank you very much!!! The best option is to perform a mitral valvuloplasty to preserve the valve and maximize the function of the heart, with low anticoagulation requirements.