Luckily, most of my problems are behind, I received two stents after my HA in 2009, recovered fully from my stroke after a TKR in 2018 and my COPD is very mild, occasionally requiring a puff from my inhaler. I will be seeing y cardio MD on 1/13 to further assess the leaky valve, which was examined by a camera and found not sufficiently bad to operate. That leaves my TAA as the worst of my conditions at 5.1. So, when i say I am in good health generally, I think I am. Unfortunately, I am not near a Mayo clinic here in Virginia. .thanks so much for your concern I will report findings next month. Merry Christmas or happy holiday to all on this forum.