Aortic valve replacement+ascending aorta replacement+mitral valvuloplasty (or valve replacement)+radiofrequency ablation of atrial fibrillation.
Disadvantages: 74-year-old man; Heart function is already very poor (EF = 40%); Complex operation; The cost is at least 6.5438+0.2 million yuan.
Conclusion: Surgery is not considered, so medical treatment is required.
(Dr. Xu Chunlei solemnly reminds 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! )
Anzhen hospital Xu Chunlei/