Hi davej. I had severe aortic stenosis along with a bicuspid valve. I had the option of TAVR but my surgeon advised that it would trap the “junk” (calcification) in there and create the possibility of strokes or other issues down the road. I decided to go with full open heart surgery. That turned out to be the right choice since it turned out the calcification had backed into one heart chamber. Because of that TAVR would have been a disaster. (This was 2 years ago)

My valve is designed to accept a TAVR replacement, so I have that option down the road.

In any case, I think the choice depends on a lot of factors. Mostly, I’d suggest finding a surgeon who’ll explain all your options along with how each one specifically affects your case.