Mitral and tricuspid regurgitation

gladifoundthissite,
The enlarged aorta is probably causing the chest pain (assuming it is thoracic) and fatigue. Your doctor may recommend minimally invasive repair because you are having symptoms. Otherwise you may be advised to wait 5cm is usually where they advise surgery. There are always risks with surgeries, but worry isn't helpful unless it makes you get second opinions and find the best surgeon. Revel in how much better you are going to feel
I have the two mildly leaky valves, but they are common after a certain age. These days the surgeries are so much easier as they can be done most commonly without opening the chest.
Let us know what your doctors have to say.

Do you also have increased pulmonary pressure? I am not sure if this means increased pressure in the pulmonary valve. If you do have increased pulmonary pressure more than 40mg - 50mg, that is clinically significant. Mine is 30mg - 40 mg.
Do you have pericardial effusion? If it is more than a trace, it could also be clinically significant. Hang in there! Good luck and best wishes!

@gently
Thank you for those helpful thoughts 😊 I have an echo stress test this week hoping for more answers

@mikeydc2008
No I don’t have that, I do have another test this week hoping.

@gently Hi, you stated "These days the surgeries are so much easier as they can be done most commonly without opening the chest." .......... I have been diagnosed with an Ascending Aortic Aneurysm and a Root aneurysm with an aortic valve prolapse a year ago 4.2 and 4.5 cm. Also have a Mitral valve prolapse diagnosed 8 years ago and still untreated as it is not growing. I wish your statement were true that ascending aortic aneurysms could be done without opening the chest, but unless they just invented a new method, that is not the case. A descending aortic aneurysm is done with minimal invasive surgery but ascending is still open heart surgery or I missed the good news. Hope your correct and I just missed something cause I may need to under the knife in a year or so and do an open heart surgery.

@gladifoundthissite; Hi, you said that you are having chest pain and are tired. Someone opined that the enlarged aorta is probably causing the pain. You need to see a doctor about that since arteries and veins have no nerves and therefore cannot cause pain in themselves. That is the reason that most aneurysms go undetected until some other causes the need to get a ct scan or ultrasound. Mild regurgitation or prolapse of a valve alone rarely causes concern until it becomes severe. Your aneurysm is by far the most important issue you have and at 4cm it requires periodic checks to see its rate of growth. Aneurysms on average grow about 1/3rd of a cm per year. So, unless yours is aggressive, it should be checked periodically by a good cardiologist or thoracic aneurysm specialist. Most of the info on this site should be considered helpful but not actually relied upon. Including mine.

@dew88, the surgical reference is to the valvular surgeries. Aneurysm surgery usually is delayed until greater than or equal to 5.5cm. They are recommending all repairs in one surgery.
You haven't missed any new information on key hole surgery for aortic aneuysm.

@mikeydc2008
How do I find that out ?

An Exercise (Stress) Echocardiogram can show you that.

@mikeydc2008
Haven’t got the results yet 🤷🏻‍♀️