I saw my cardiologist for review today after my echocardiogram last week. The result is that the valve leaflets are still fine. The pressure gradients again increasing: mean 35 mmHg, peak 56 mmHg, which will be due to the patient prosthesis mismatch. I go back to see cardiologist in a year unless I get any problems meanwhile. So I can put this out of the way for the mo !