Given that you are symptomatic, as marked by the breathlessness, and that the AI is in the mod-severe range by echo, then it is crucial to closely review serial echocardiograms in order to recommend valve replacement or repair prior to the development of irreversible injury to the left ventricle. You see, AI is a condition of volume overload on the heart, as the blood that is ejected through the aortic valve flows back into the ventricle due to the insufficiency. Eventually, this volume overload takes its toll on the ventricle, and permanent injury can occur. I would recap that serial echo's are necessary to watch for signs of left ventricular injury in order to optimally time valve surgery. Best of luck.
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