My mom who is a 77 yo female s/p mitral valve replacement X8 years ago. S/p pacemaker. Now is having severe fatigue, anemia, can't walk unassisted. Very lethargic. On strong antibiotics not sure of name for potential bladder infection due to blood in urine. Some issues were found in the kidneys. Went to cardiology and is being told it is valve related but she wasn't sure which valve. She's being told she will be admitted forvtreatment, not sure of treatment. She was told surgery might not be possible because of her two othe mitral valve repair followed by one year later mitral valve replacement with pacemaker. Any info would be helpful. She is living in Portugal. Thank you