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Hi, thanks for getting in touch. How can I help?
I would push to move towards surgery now. Symptoms can be mild and often not noticed as 'symptoms'. The main ones being any shortness of breath, chest discomfort or dizziness, does she truly not have any symptoms?
Once it's severe it's never going to get better on its own. Surgery is safe, the risk of something going wrong is between 1-2% and the risk of leaving a severe valve - approximately half of such people will survive to 5 years (if no surgery done) otherwise it can approach normal life expectancy. It isn't something super critical that it needs doing this second but waiting another 6 months just to see that it's still severe (or slightly worse) seems somewhat pointless
She's not at any express risk, it may just be worth asking them for a referral to meet one of the surgeons to at least discuss the options, tailored to her medical history/physical status.
You're always welcome. Glad I could help. All the very best.