Many thanks to all of you who responded to my query. I have printed out all your excellent and detailed replies, and will address the issues discussed when I meet the cardiologist at Cleveland Clinic in early December.
On March 2017 I had a second AVR at Cleveland Clinic after the first AVR failed after 5 years. Now my Echo is showing that the 2017 valve is becoming stenotic and will have to be replaced- another heart surgery!! My cardiologist ( in Philadelphia) who has been with me for many years believes...