<s>[INST] my 40 yr old son has has two open heart surgerys back to back after the first one he was not sent home with antifungal his heart valves had to be repaired due to infection now he cannot be opened again and within 8 to 10 yrs when they need to be repaired again what happens then? [/INST] Hello, If it is the valvular heart disease then it can be managed it medical management or surgical management, and it depends upon the which is diseased or the elements that have once it is the surgical category, then it needs surgery and once the surgery done, then it can not be taken again for the surgery for the same reason of valve disease or for the opening heart again it is very less likely, moreover the infection of the valve can be managed with medicine if the condition is not severe. Hope I have answered your query. Let me know if I can assist you further.  </s>