Heart failure symptoms early in 2023 - found to have structural valve deterioration trifecta avr.Summary of tte 03/2022.Normal left ventricular size, mass and function with no significant regional wall motion abnormalities.The estimated lvef is 70%.Normal right heart size and function.Normally functioning bioprosthetic aortic valve with no significant stenosis or regurgitation.Borderline mild mitral valve stenosis with trace to mild regurgitation.Mild tricuspid valve regurgitation with estimated mildly elevated pulmonary artery systolic pressure.Compared to the prior study on (b)(6) 2020, borderline mitral valve stenosis noted today with other findings appearing similar.Summary of tte 6/2023, normal left ventricular size and systolic function with no regional abnormalities, estimated lvef is 75%.Normal right ventricular size and function.Prosthetic aortic valve with severe stenosis and moderate regurgitation.Mitral annular calcification with mild mitral stenosis and mild to moderate regurgitation.Moderate tricuspid regurgitation with estimated mildly elevated systolic pa pressure.Compared to previous (b)(6) 2022, prosthetic aortic valve dysfunction is noted.
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