Had my AVR with Dr Castro on 11/18/19. The surgery & hospital stay went very well. A lot of personal attention while in the hospital & no rush to push me out before I was ready to leave. Very little pain too, which I thought was amazing.I'm right behind you, John. Just had my latest MRI a week ago and the Sinus /Valsalvas has expanded to 4.9cm for 4.6cm/ascending aorta is 4.9cm (per the reports, not read by a surgeon) and my left ventricle has been borderline dilating. I'm also bicuspid, asymptomatic, exercise regularly 67 yo. Rethinking where I plan to have mine done. Had been focused on C-Clinic or Mayo, but since I'm in CA now considering Dr. Castro in RC. I'll see my cardiologist in a week to get his latest view on this. I keep thinking my increase in ocular migraines is a sign! I will be watching your progress!