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Thank you to everyone who wrote back to me. It seems that my father's cardiologist doesn't feel my father should have a 3rd valve surgery (this one would be a replacement) since he had complications after his 2nd repair (he had a bleeding ulcer & his kidneys & liver had trouble restarting after the surgery). His leak is now moderate to severe & they are going to try & treat him with heart strenghthening meds (cozar?) & a pacemaker (I am not sure why he wasn't given heart strenghtening meds after the 2nd surgery since his heart was significanlty weaker). No one can seem to answer the question of whether his valve is leaking because his heart isn't working properly or whether his heart is weakening due to the valve. His doctor also doesn't this my father should get the new pacemaker (double pump) since my father's EKG is relatively normal. Does anyone have any experience with any of this or know any good doctors in NY/NJ who can give a second opinion?