I have just come back from the visit to the cardiologist at Southmead, where I was told that he was handing my care over to the interventionist cardiologist at the Bristol Royal Infirmary, who may be able to help me more. However, if my valve problem worsens they won't be able to do anything because my lungs are rubbish, his words not mine. Likewise they won't be able to do another ablation because of my lungs, so I will probably now be in permanent AF. They should be able to do a right heart catheterisation to confirm pulmonary hypertension. The hole they have discovered may well have developed because of my enlarged right atria, caused by PH. If they can treat the PH with drugs that may improve things. I offered to be a study case for medical students. Might as well get some interest out of it, as my situation is so rare. However he did make an appointment to see me in two years, which at least is encouraging. I plan to keep it. My lungs are still rubbish!