Mitral and tricuspid regurgitation

Posted by gladifoundthissite @gladifoundthissite, 20 hours ago

I have been diagnosed with mild mitral and mild/moderate tricuspid regurgitation. I also have an enlarged aorta at 4 cm
I’m tired a lot , and have chest pain.
Not sure which part I should be more worried about. I’m very active or have been in the past.
Anyone have all of these and what should I most be worried about?

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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.

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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!

REPLY
Profile picture for gently @gently

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.

Jump to this post

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

REPLY
Profile picture for mikeydc2008 @mikeydc2008

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!

Jump to this post

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

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