Patient: Anterior mitral valve leaflet prolapse and moderate-severe regurgitation, aortic valve prolapse and moderate regurgitation were discovered in May 2000. After the discovery, he has been limiting the amount of exercise since then, and has had regular ultrasound reviews, twice a year for the first five years and once a year for the last three years. Basically, there is no treatment, and the main focus is on limiting exercise, strengthening prevention, and enhancing resistance. In the past two years, the thoracic surgeon recommended surgery, but the child is growing up day by day, and is now in his first year of high school, 164cm tall, weighing 42KG, and studying very intensely. As a parent, I am afraid of delaying the best treatment time, and I am afraid of not choosing the best surgery plan, and I dare not gamble with the happiness of the child’s life. Please understand! As a parent, I am very conflicted and don’t know what to do, so I would like to ask Professor Zhang the following questions. 1. Do I have to have the surgery now? Is it possible to wait until after the marriage period before having the surgery? 2. Regarding the surgical plan: Is it possible to consider replacing the bioprosthetic valve first, and then replacing the mechanical valve after a decade or two? Is it possible to shape the aortic valve? 3.Is riss surgery suitable? I heard that 20 years after riss surgery, surgery is needed again and the risk is greater than once? 4. What is the cost of the surgery? How long does the hospital stay take? How long do I need to rest after the surgery before I can continue school? Beijing Military General Hospital Heart and Lung Center Yao Jianmin: 1. From the ultrasound you introduced, it is mainly aortic valve closure insufficiency at present, mitral valve lesion is not heavy. Closure insufficiency is severe, the left ventricle is obviously enlarged, in principle it is necessary to carry out aortic valve replacement or shaping surgery, of course, the child is really special at this age, if there are no symptoms, but also cautious close observation, once the symptoms such as panic and shortness of breath after activity or can not lie down to rest, or the left ventricle is further enlarged, it is recommended that timely surgery to avoid accidents or increase the risk of surgery, or affect The long-term efficacy. 2.In principle, mechanical valves are used at this age, but if you consider the issue of future childbirth for girls, you can also replace the biological valve first and then replace the mechanical valve in the future. The best biological valves are now expected to last 15-20 years, and mechanical valves are expected to last more than 40 years. Of course, the aortic valve also has the possibility of repair and shaping. 3.There is no suitable domestic pipeline with valve, even if there is in the future, after ROSS surgery and really face re-operation problem. 4, the cost of aortic valve replacement surgery is related to the type of valve selected, generally more than 50,000, hospitalization time of about 2 weeks, after surgery generally need to rest for 3-6 months can continue to school.