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How realistic is the scenario when patient's annulus is too large for most valves? Mine for example is 29 mm. I heard sometimes the only option is using the mitral valve in aortic position.

If the leak is through the valve, it's normal. If paravalvular, not, but mild to moderate is not too significant anyway.

May I ask, have your surgeons told you about any delicacies with installing the mechanical valve in a large annulus? It seems to me that you are getting the valve only, without the aorta prosthesis (no Bentall), and annulus 33 is larger than most of the aortic valves. Sometimes surgeons use...

I'll just say that death on the operating table or even later in a hospital after a failed surgery is much easier. One famous soviet heart surgeon whose book I've read thought so, and it appears reasonable.

Hello and welcome. It would be nice to hear how you came to your AVR and how having the surgery worked out for you.

People say that the BP normalises, and I hadn't AVR myself. I know for sure from my athletic experience that the heart is very adaptive.

Your BP probably will normalize after the AVR. Before that, I'd keep it low to ease the heart. 106/73 is not unbearably low, its just you are used to hypertension IMO. And good luck to you on your surgery.

@badmad Thanks for the feedback, this kind of feedback makes us awaiting believe that people may be leaving this forum to live their life in the end. :D

They combined Ozaki with Bentall/David, sewing the cusps made of pericardium into a dacron conduit. Why not just do a bio-Bentall escapes me, my version is because patient's annulus is dilated to 30mm, which is bigger then the biological valves available. Somewhat cowboy surgery, but the patient...

Good luck mate, you'll be fine as a patient from my video, and his condition probably was much more severe than yours.

Here's what a calcified BAV looks like at 8:48 (surgery video)

Hello! What do you mean? Any health problems, or mentally?

And still there are techniques in the annulus enlargment and reduction.

It was me who asked him for an update :) Yeah, this issue with the valve sizing is strange. AFAIK, the surgeons always try to install the largest possible valve. But most importantly, his valve keeps going strong.

Hello, welcome and congratulations on your successful AVR. What was the backstory of your surgery?

@jyg Just out of interest, had your BP changed after your AVR? And for reference, my BP is same as yours now, I am not overweight and I have mild AR.

They look for abnormalities only in several places that are known to be assotiated with diseases. So far genetic testing is in no way exhaustive, not to mention that connective tissue disorders are assotiated with several genes, probably including some unknown too.

There are some on their Twitter. And since no clinical study has been cancelled yet, no news is good news. I guess they would report the cancellation.

I answered relating to Ozaki procedure, which can be done with smaller aorta and we don't know if the OP is small or not.

Genetically similar, but generally smaller in size, including heart and aorta size.