I'm sorry to hear you are having some difficulty. If you are having TIAs and PEs, hopefully you have been worked up for a hypercoagulable disorder. I am not sure if your pulmonary pressure is your peak systolic pressure or your mean pressure, so I can't speak to the severity of it. I also can't tell the location or severity of your leaking heart valves. If you are unhappy with your cardiologist, I encourage you to seek a second opinion. Hope this helps!
my pulmonary pressure is at rest,(37) taken with a ecocardiogram , my leaking valve's,are from having rheumatic fever as a child.and are being kept under control with med's for high blood pressure.Aortic valve,mitral valve and tricuspid valve are all leaking, and now l'm told l have COAD.l do not have hypercoagulable disorder as l have been tested.but have had PE's and TIA's.