Conversation: The conversation between human and AI assistant.
[|Human|] hi dr,,,my mother has rheumatic heart disease & AF,,,,her echo shows severe MR,,mild MS,,,her cardiologist recommend Mitral valve replacement ,,,what is ur opinion regarding indication ,,complication and is continuation of medical tt better or not ,,,,Ejection fraction : 61%thanx in advance yours dr m.hamdi ,,intern
[|AI|]  Thanks for your question on Chat Doctor. I can understand your mothers situation and problem. She should definitely undergo mitral valve replacement. She is already having severe MR (mitral regurgitation) and mild MS (mitral stenosis). With time her MS will be worse and cause fixed mitral valves. This situation can cause sudden heart failure and sudden death. This is inevitable complication of rheumatic heart disease in later stages of life. So to prevent this, better to get done mitral valve replacement at present. This operation is needed in her case to prevent future life-threatening complications. No role wait and continuing medical treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.