Came onto this forum about 13 years ago for advice ,expecting imminent AVR due to moderate to severe regurgitation ( bicuspid valve). Did some research and queried surgery.
I have since had 6 monthly ECHOs and occasional MRIs.
Although borderline on distolic and systolic measurements,they have remained fairly stable. A good preserved Ejection Fraction, no left ventricle dystrophy, good aortic root diameter, good overall LV function. Asymptomatic.
I am 62, 5' 11", 75kg .work 12 hr shifts, 50 hr + weeks, on my feet all day.
Used to run 6 to 8 km 3 times a week, surf, cycle and swim up until 2 yrs ago due to dodgy hip (hip replacement due in Jan).
Fitness ( in particular running ) was my best gauge for deteriation or sign of symptoms. So in its absence they stuck me on bike at NHS for fitness/heart function test earlier this year.. =better than average for age.
Bottom line... I fear surgery, ! ..and feel while I have a good quality of life now why take the risk of such intrusive surgery and something going wrong.
I have been told that AVR is a matter of when and not if..and the risk of surgery increases with age. But i have had a happy and productive 13 years and hope to have a few more.
I am continuing my Regular ECHOS, got an MRI early next year. But I will not be having surgery until I hit the measurement criteria or show first sign of any symptoms,....or hit 70 yr old .
Dont 't be rushed into surgery but when it is needed, it is needed. Be aware, keep up observations, research and make your own decisions.