Hello, I had my Aortic valve replaced with a 21mm stJudes valve when i was 12 years old at 2006 and now im 25. I have been getting my echocardiogram every year and i had no problems and no complaints until last year. Last year they said there was a minor/trace insufficiency and it is because as i am getting older the valve is remaining small for my age/body and I might need a revisional surgery for a larger valve in the future. I am an average sized guy, had few extra kilograms recently because of work routine but live and eat as healthy as i can. Let me come to the point, recently ı feel like I am having some palpitations, but while inactive, sitting etc, my physical capacity is still good, no pain or breathlessnes after even climbing 7-8 floors. But I am worried and scared that what if when I have my echo done and they say I need a replacement? I was aged 12 when I had it first done so it was a little traumatic for me psychologically. I am really worried that i may need to go through the same things. I need some advice on how to cope with this and what to do. Thank you in advance.