I have moderate Mitral valve regurgitation and mild to moderate aortic valve regurgitation with bicuspid valve. Also some left ventricular impairment which had improved at the last echo, last year. Heart failure 2/3 NYHA. I am going to have non cardiac surgery, for a breast lump, which has been diagnosed benign, but no clear edges so wide exhision surgery is needed. It's next week and I'm a bit worried about anisthetic. Although the hospital is aware of my heart condition and seen my last echo. Anyone had experience of anasthetic and heart conditions?