Hello my sister age is 36. She has been diagnosed with RHD.,calcified aortic valve, AML, and diastolic domING of mitral valve. Grossly dilated left atrium, moderate MS, (MVA 1.2 Sq cm) mild MR , AR, TR, PHT. (PASP 46MM Hg), normal LV systolic function, LVEF 64%. PLZ suggestions whether to operate or OK with medicine. .. Senior cardiologist surgeon advice thanks