Rheumatic heart disease is a major cause of valvular lesions. Mitral and aortic valves are the most affected valves. Rheumatic valve disease can lead to either valvular stenosis or more commonly valvular regurgitation. Severe cases with valvular lesions require surgical intervention. Several Factors influencing decisions for choice of surgical procedure including patient age, gender, access to medication and access to on-going care and follow-up.27 Surgical treatment of valve disease includes either valve repair or valve replacement surgery. Number of factors affects the type of valve to be operated on. Surgeon must take into consideration patient age, women of childbearing age, heart and vascular system condition and patient lifestyle and
