Severe Mitral Valve Regurg? Ideas pls TY

Question

Asked for Female, 57 Years

S/P CABG 5 yrs & ablation 3 yrs w complications CHF, CAD, Pulm HTN, COPD etc W/ EXERTION = ^ SOB, PO2 83-90%. Dry ^ pitched cough, facial sweats & red face. Short PVC & AF runs w/wo exertion. 3+ pitting edema 2 MDs = HF flair, 1 general cardiologist = NO HF. Dobutamine Stress Echo OK, but severe mitral regurg ignored/not addressed. Ideas please. TY

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Dr. Sanjib K Sahu General Physician 24 yrs exp Hyderabad Consult Now · Accepted Answer

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