I was at ballet rehearsal. During a section of bourrees on pointe, I hit the floor. My Mom sent me to the doctor the next day. He listened to my chest, left the exam room, and walked out. He came back in with a cardiologist who listened and left. I went into the dr's office and he told me I had a heart murmur that they thought was a bicuspid valve. But echos had not been invented yet, so there was no way to know for sure. He went on to tell me I might need surgery at age 18 ( I was 16,) 25, 40, or 65. (He nailed it on 25 and 65. ) It was a shock, and I called my Mother in tears. Thank heaven for Dr. Nanda in Rochester, Dr. Phillips and Hochreiter and Dr William Gay in NY, Dr. Katchoukas at UAB, Dr. Murphy in Atlanta, Dr. Pacifico at UAB. I am grateful.Unfortunate enough I hope that in your case they found out a bit quicker you had IE on you BAV but because you said ‘similar’ I take it took a while for you too. Surgery went all good? What INR target was set for you for your On-X?