I know nobody wants to think in terms other than they're unique (well....you ARE!). But these problems are rampant globally, and we in the west enjoy the very best science, engineering, and technology going, including valve repair in the heart. I feel optimistic about you and your eventual success, and I hope I can shed some optimism on you. It will be good. Not good waiting to get there, but once it's done, you'll feel better. I have read that, once a defect in rhythm and valve disorder are ameliorated, the enlargement naturally reverses....some. Maybe a little, maybe a lot. Each patient is different. So, you'll also fix your enlarged chamber, even if just modestly. But that valve MUST BE fixed first.