Hello @inali,

Heart valve disorders can include double (mitral-aortic, mitral-tricuspid), or triple (mitral, aortic, and tricuspid) valvular regurgitation. Combined mitral valve repair (MVR) and aortic valve repair (AVR) is performed most often among multiple valve operations, followed by MVR and tricuspid valve repair. Here are published research articles which, I hope, will help you find some answers:

– https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2752762/
– https://www.sciencedirect.com/science/article/pii/S1743919117305095
– https://www.ncbi.nlm.nih.gov/books/NBK154635/

I’d also encourage you to view these discussions where @carlysmith011 @yorlik @maryd @colleen00 @yoanne and others have shared their insights about valve disease and treatment:
– Triple valve replacement?? https://connect.mayoclinic.org/discussion/triple-valve-replacement/
– Valve Disease https://connect.mayoclinic.org/discussion/valve-disease/

@inali, may I ask if you are consulting with doctors at Mayo Clinic? If not, would you consider returning for a second opinion?