I have had 2 openheart surgurys in the past,the valve is leaking,moderate ai,should open heart be considered a 3rd time?.i have congenital a.s.?tyvm

Depends: Aortic insufficiency or aortic stenosis can cause diastolic congestive heart failure if not treated properly. Depending on the extent of the condition, medication, or surgical options are the standard of care.

AI managed medically: It has been my impression that valve replacement is not usually necessary in aortic insufficiency. If your prior surgery was for the aortic valve, it would be helpful to know what was done. I do not understand the initials present...?arteriovenous malformation? Details would be helpful to fulfill the answer.