Hello all! Im a 62 yo male and back in 2003 I had an ascending aortic aneurysm surgically repaired together with a valve sparing repair of a bicuspid aortic valve. The BAV has lasted over 19 years but I'm closing in on the need for a aortic valve replacement due to aortic stenosis. I am happy with the path that we took in 2003 full well knowing that the day would come when I had to "pay the piper". My latest echo results have placed me in the category of planning for a new valve. I'm experiencing almost no real physical symptoms yet, maybe a little less energy exercising and requiring a longer warm-up period when doing so. I will be consulting with a surgeon soon. Given my age and physical condition I'm expecting OHS again. But I will wait to hear from the surgeons. I guess I now need to decide on mechanical vs bioprothesis. If, and big if, I could get away with a bio valve and later qualify for valve in valve TAVR I would consider this path. But again my expectations are that they will recommend mechanical. I appreciate the wealth of first hand information that I have found on this forum and hope to be able to provide my own experiences if they might help others.