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Thanks for your thoughts and support. @dick0236 - I appreciate hearing your experiences with ACT and the noise. I think both of these issues will take some getting used to on my part @pellicle - Answering some of your questions: mechanical bentall procedure is upcoming. That's what I will be...

54M, reasonably active. Mechanical bentall procedure (49% EF, 5cm aortic root, etc). Talked to numerous cardiologists and cardiac surgeons. Some had opinions - go with a mechanical valve given my age and activity level. Others just listed the pros and cons of tissue vs mechanical valves and...