Patient: description of the condition (onset time, main symptoms, hospitalization, etc.): Hello doctor. My mother is 56 years old this year, about thirty years ago had rheumatic heart disease, during which there has been no recurrence, some time ago, the disease, in our county hospital doctors diagnosed as atrial fibrillation, stayed for a week and then discharged, and then went to the regional hospital to check, the doctor gave the medicine, at that time, said that it did not come to the point that must be operated on, but a few days ago went to the regional hospital to do a month after the re-examination, the doctor said that you must have to do to change the valve surgery. We don’t have a clue what to do, now. The following is the diagnosis of the hospital: heart orientation is normal, the left atrium is enlarged, no obvious thrombus echo is seen in the left atrium, and the diameter of the remaining atrial cavities is within the normal range. The ascending aorta and main pulmonary artery were not wide, the ventricular wall was not thick, the mitral valve was thickened and echogenic, and its anterior leaflets were open with hook-like changes, the aortic valve was thickened and echogenic, and the opening of the leaflets was not significantly restricted, and the remaining valves did not have any abnormalities in their structure or activity. Atrial septal echogenicity was continued, and no abnormal echogenicity was seen in the pericardial cavity. Color spectroscopy and boppier flow detection: the mitral valve diastolic flow rate was increased, and the functional effective area of the mitral valve was measured to be 1.47 square centimeters according to the PTH method, and mild regurgitation was seen in mitral systole with a fascicle length of 3.6 centimeters, and in tricuspid systole with a fascicle length of 2.8 centimeters, and mild regurgitation was seen in diastole with the aortic valve. The remaining intracardiac and large-vessel blood flow is not abnormal. Hello, Dr. Wu. My mother is 56 years old this year, about thirty years ago had rheumatic heart disease, there has been no recurrence during the period, some time ago, in our county hospital doctors diagnosed as atrial fibrillation, stayed for a week after discharge, and then went to the regional hospital to check the doctor to get the medicine, said at that time that not to the point that must be operated on, but a few days ago went to the regional hospital to do a month of re-examination, the doctor said that must be done to change the valve surgery, we now have no bottom line. Now we have no idea, we would like to consult you whether it is necessary to do valve replacement surgery, if the treatment in Fu Wai Hospital, from the admission to the discharge of a total of how much money, about how long to stay? I would like to make an appointment with you for treatment at your hospital. The following is the diagnosis of the hospital: the heart orientation is normal, the left atrium is enlarged, there is no obvious thrombus echo in the left atrium, and the diameters of the remaining atrial chambers are all within the normal range. The ascending aorta and main pulmonary artery were not wide, the ventricular wall was not thick, the mitral valve was thickened and echogenic, and its anterior leaflets opened with hook-like changes, the aortic valve was thickened and echogenic, and the opening of the leaflets was not significantly restricted, and the remaining valves did not have any abnormalities in their structure or activity. Atrial septal echogenicity was continued, and no abnormal echogenicity was seen in the pericardial cavity. Color spectroscopy and boppier flow detection: the mitral valve diastolic flow rate was increased, and the functional effective area of the mitral valve was measured to be 1.47 square centimeters according to the PTH method, and mild regurgitation was seen in mitral systole with a fascicle length of 3.6 centimeters, and in tricuspid systole with a fascicle length of 2.8 centimeters, and mild regurgitation was seen in diastole with the aortic valve. Mild regurgitation was seen in systole of the tricuspid valve with a bundle length of 2.8 centimeters, mild regurgitation in diastole of the aortic valve, and no abnormality of intracardiac and large vessel blood flow. Now I would like to consult you whether it is necessary to do valve replacement surgery, how much does it cost in total from admission to discharge, and how long will I have to stay in the hospital? DOCTOR: According to your description, the mitral valve belongs to moderate stenosis, if the symptoms of heart failure are not obvious, you can suspend the operation. Patient: The deferred surgery means that sooner or later, we have to operate, right? Will this disease still affect my life after the surgery? Doctor：Valve surgery has certain risks, and after the surgery is not a one-off, long-term anticoagulation to maintain valve function, if the anticoagulation is not appropriate will also cause valve dysfunction, and even cardiac valve life-threatening. Therefore, it is very important to grasp the timing of the operation. If the valve lesion is severe, the hemodynamics of the patient will be significantly improved after the valve replacement, and the patient will get more benefits from the operation, so it is worthwhile to take some risks. It is worth the risk to defer surgery and to review the patient regularly, not to exclude the need for surgery in the future, depending on the results of the review to see how far the lesion has progressed.