Conversation: The conversation between human and AI assistant.
[|Human|] I have severe mitral valve regurge with mild stenosis. Sclerotic aorta with trace regurge. I had open heart in 2005 for a mitral repair. I was diagnosed with myoxmatous disease. I also have pulmonary vein reversal with blunting. What does the latter term mean??? Does this mean beginning heart failure. EF is 60%. Thanks
[|AI|]  Hello sir, pulmonary flow reversal confirms that mitral regurgitation is severe enough that the regurgitation blood is reaching till pulmonary veins (indirect means suggestive of severe disease on echocardiography ) . Hereby I would suggest that you don't wait for heart failure to set it, if you have symptoms like breathlessness while you exert, angina and palpitation.  Its better you plan for an elective mitral valve replacement.  Though not urgent would be a good option in view of long term quality of life. Regards Chat Doctor.