Hi Glenda. Fellow N.B.er here. I too have a Bicuspid Aortic Valve and the latest echo revealed an ascending aorta dilation increase from 4.0 to 4.4. The GP that shared the results told me to keep riding flatland BMX ( ground tricks on a BMX) yet I found out the other day that wasn’t ideal advice as a friend who works with a team of cardiologists in Halifax had them read my latest report and watch a video of me riding and they recommend being seen by the team in SJ ideally every 6 months and absolutely no BMX flatland…after 36 years of riding it’s certainly hard to retire from it. The latest report was completed by an internist in the Bathurst area and it said yearly. However, the point is get to SJ for the consult and have that team monitor. That’s what the cardiologist team from Halifax told me and that’s my plan. I have to talk to my GP and likely the internist for the referral. Since we seem to have the same ailment at the same stage of dilation perhaps it’s prudent to follow the same course of action. Be well.