Patient symptoms are the key determining factor when this occurs and only your cardiologist can answer the question about whether your relative's symptoms are serious enough to consider a third prosthetic valve replacement. The risks of a third surgery are certainly high, but you would need to speak to a cardiothoracic surgeon to determine what the risks are for your relative. Thus, I think a joint discussion with both the surgeon and the cardiologist would be the best approach. A careful consideration of the risks and benefits of medications vs. surgery would need to be done to decide on what the best recommendation is for your relative. I hope you find this information useful.
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