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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do I Need A Surgery For AS(mild),AR(gr-3) And MR(gr-1)?

Dear sir, it is my pleasure to take advice from you,i am 63 years old and i have been attacked by brain stroke 3 times and heart is enlarging day by day AND report shown mitral valve: MR flow seen, Aortic : AR flow seen, pulmonary valve: normal and tricuspid also seen normal. AS (Mild), AR(Gr 3) and MR(gr-1) this the current situation, please give me advice whether should go for operation or not. Thanks
Wed, 15 Jul 2015
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Cardiologist 's  Response
hello,i have gone through your query.Thanks for using HCM.your MR(gr 1)is mild and will not need replacement.But your AR which is grade three may need replacement in future.Decision of replacing aortic valve with moderate severe regurgitation on symptoms and exactl degree of enlargement of your heart.I need to know your exact dimensions of left ventricle to guide.Ace group of medicine like ramipril will help your heart tolerate AR well and may help tp postpone surgery for quite sometime.
since you had stroke you must be on statin and aspirin.
i would be happy to guide you further if you give me feed back
My best iwhses
Dr.Rajesh Teli,MD
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Do I Need A Surgery For AS(mild),AR(gr-3) And MR(gr-1)?

hello,i have gone through your query.Thanks for using HCM.your MR(gr 1)is mild and will not need replacement.But your AR which is grade three may need replacement in future.Decision of replacing aortic valve with moderate severe regurgitation on symptoms and exactl degree of enlargement of your heart.I need to know your exact dimensions of left ventricle to guide.Ace group of medicine like ramipril will help your heart tolerate AR well and may help tp postpone surgery for quite sometime. since you had stroke you must be on statin and aspirin. i would be happy to guide you further if you give me feed back My best iwhses Dr.Rajesh Teli,MD