Hi Bitsygirl. This is no fun- I’m a newly Diagnosed 4.4 ascending. Ugh!!!!!! I’ve no expertise at all but my feeling is that if this thing ever does a Mt Vesuvius 🌋 odds of survival are extremely remote / low thru a lack of time and accessibility etc etc. Sounds morbid 😓 but I’m being realistic and aware of the worst case scenario. Therefore prior to the situation becoming worse (for your peace of mind) it would be ideal to have done all things possible to line up the best surgeon / hospital who has / have done very many repair ops of this nature. If possible I personally would be loath to solely rely on faith and hoping a last minute optimal solution will materialise. That sounds too chancy for me.

very best of luck and love to you during this trying life episode ☺️