Good to know. I am pretty active and probably got this way pushing my body. I’ve probably read too much at this point, but it seems open heart is so different than 20 years ago. My cousin who’s an alcoholic and 70 just had open heart for bypass, valve replacement and something else. Op was 7 hours, ICU for less than 24, step down unit for two days and discharged to rehab facility. He was back home six days later. That is amazing! I think it is like others have said, you an aortic specialist and a surgeon who does it routinely. Yours has grown slowly I take it? It didn’t accelerate recently, but has grown incrementally over time?