Hi If All 4 Valves Has Mild Regurgitation Is Open

Hi

If all 4 valves has mild regurgitation is open heart surgery needed, also has regional wall motion abnormality, diastolic dysfunction, septal hypertrophy left ventricle thickness, aortic root dilation 4 cm,
inferior wall hypokinetic, left and right atria mildly dilated, inferior olateral wall hypokinetic

Is this person having heart failure and what is the prognosis, can this is repaired , thank you