Hello all, I am 51 years old and have a bicuspid aortic valve that needs to be replaced. Have just met surgeon and I’m in the process getting all my testing done before surgery. Angioplasty in a couple of weeks. I am considered severe because my mean gradient is currently at 46 and my valve area is 1.1 cm. A little background on me. I am currently 4 years cancer free from colorectal cancer and have discovered I have a genetic gene abnormally called lynch syndrome. It makes me susceptible to several cancers , but colon being the predominant one. Now on to the cardiac surgeon. He has said since I have lynch and I need a colonoscopy yearly along with the possibility of future surgeries that I am a candidate for both a tissue or a mechanical valve. I am not sure what to do . The thought of blood thinners and surgery scares me. He said he would recommend an on X valve and I would have to use injections to bridge the blood thinners. On the other hand with a tissue valve he said I would probably need a second open surgery , then possibly a third through tavr. I’d gathered from his body language and demeanor he was favoring a tissue, but he wanted me to do some research and then we could decide on my next visit. On a side note how long did you go from first meeting with surgeon to surgery? I’m looking at having surgery in mid January. I do have heart palpitations almost daily, they scare me sometimes, but my heart is in good condition according to the echocardiogram done on me. Right and left side both looked good. I was looking at the inspirius resilient by Edwards as the possible tissue valve. Any advise and information would be greatly appreciated. Thank you all.