So suffice it to say that there comes a time in all valvular disease of the heart where surgery is the ONLY option. So I hope you understand from all this that this is not only a complicated decision that should involve patient and physician opinion but also is very individualized, especially when dealing in aortic valve abnormalities, vs. mitral valve problems. Please have your brother and family discuss the option of repair vs replacement with the cardiovascular team that is involved in his care. Keep in mind that not all surgeons have been schooled in valve repair. I hope this information is useful.
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