RHD with severe MS (MS score = M2S2C2T2), trace MR. Mild AS. Moderate AR Atrial fibrillation with large LAA thrombus 2x4 cm.
Moderately impaired LV systolic function.
Minimal pericardial effusion.
Impression : RHD with severe MS. AF . Large LAA thrombus.
Plan: Consider warfarin keep INR 2-3 . Rate control AF . Refer for PBMV.