hello sir iam 49 yrs old my report of heart is as follows:LVID(d/s):40/22               RVID:15IVS(d/s): 20 mLVPWT(d/s):16 mAORTIC ROOT: 32LA 40LVEF :68 %                VALVULAR FUNCTIONMITRAL: SAM + velocity grade IIITricspid :normalPulmonary: LUOT A-> 50 mm...                             NOMRLA/LV Clot: 40 cm 50m .....Hypertroptic obstructive cardiomayopathydoctor is telling for operation what type of operation it is?kindly advice wheather operation is required immediately or it can be posponed for few months,as I am on treaement with dilzem 90 SR,Betaloc 50 mg BD, onRx since 10 yrs my email id is ;  YYYY@YYYY
Your problem is too detailed for a simple answer. You seem to be in need of a second opinion but what you need can't come from a website. Someone needs to see and speak to you and review that echo.