PLE-8106

Auscultation of a 25-year-old female patient revealed a mid-diastolic murmur with an opening click at the apical area, grade 3/5. The patient has been experiencing worsening shortness of breath, orthopnea, and occasional constricting chest pain for 6 months. She has a history of repeated episodes of untreated pharyngitis in the past. What is the most appropriate management for this patient?