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causes of docHub cardiac failure after MVR and load pulmonary hypertension organic tricuspid regurgitation chronic atrial fibrillation advanced nyha class prior to surgery for metal regurgitation rather than stenosis radio surgery lesions Associated coronary artery disease infective endocarditis romantic activity and we are done for mitral stenosis as less chance for developing heart failure later compared to mitral regurgitation or a combination of metal stenosis and regurgitation in mitral stenosis there is no load for the left ventricle while in mitral regurgitation left ventricle has extra workload