It's been about 6 years since my last post. I have ‘enjoyed’ 39+ years with my Bjork-Shiley mitral valve. I know there have been recalls over the years on valves by this manufacturer, however mine, thankfully, was not on any recall list. The only significant issue that’s developed is a severe sub-aortic stenosis. This past August I had my first episode of LONG lasting afib. Thru a visit to my NEW cadiologist (previous one retired), I found myself back in a pediatric cardio practice...where they specialize in the congential defects that are the root of my problems, dextrocardia included. I also have started experiencing mild shortness of breath. Since I haven't had a cath in 39 years, I now have one scheduled for the monday before Thanksgiving. I have moderate to severe gradients, according to the echo, so they want to see what they REALLY are. The mitral valve implanted in 1980 has always been a bit too large (33mm) for my body...causing the sub-aortic stenosis to worsen over time, and cause the wall of the left ventricle to thicken. I was told this thickening is known to cause arrythmias. Curious to know if there are tiny valve recipients out there....5'2", 90pounds.....and what you may have for a valve. Also, are their members that live in the Northeast US? Where did you have surgery done? I"ve only had mine done at the Mayo Clinic in Rochester, MN. Hoping that in the last 39 years there may be expert surgeons closer to home (Maine).