Judging from the symptoms you described and the results of ultrasound examination, tricuspid valve repair surgery is needed again:

First of all, tricuspid valve depression still exists (posterior valve depression 19-32mm, moderate) and causes functional damage (moderate and severe reflux), which is the pathological basis for the continuous development of right ventricular enlargement and cardiac function damage;

Secondly, the damage of heart function has caused conscious symptoms, mainly manifested as palpitation, palpitation, occasional chest tightness and decreased exercise tolerance after exercise.

These are clear surgical indications for patients with Ebstein malformation. Generally speaking, the longer the course of disease, the more serious the condition. Because of the slow development of tricuspid valve disease, patients' own symptoms are often not as obvious as objective examination, and it is easy to develop into the late stage of the disease, which will inevitably seriously affect their lives and endanger their lives.

Your situation has not reached an advanced stage. The general principle is that if conditions permit (including economic ability, work and study, family situation), it should be sooner rather than later. Repair and correction is the most ideal operation, and there is no need to try not to change the valve. The success rate of surgical repair is about 95%, and most patients can work and live normally after operation. The cost of surgery is about 50 thousand (if the cost of valve replacement is higher)

Dr. You Bin from anzhen hospital solemnly reminded me that because I can't see the patient face to face, I can't fully understand the condition. The above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor! )