My Aortic Root has reached a point that my heart specialist wants me to discuss the condition with heart surgeon. I am bicuspid have no regurgitation and my root measurements is 5 centimeters. I am 69 yrs old in good health 5'8" 180lbs. I get a yearly eco and catscan. I had a heart catherization last year and all was fine except the enlarged root. I have been getting echo's for 10yrs and prior to that I got transusophical xxx yearly tests. Meeting with surgeon next week. Obviously I do not want surgery. However, can the root be repaired without replacing the aortic valve? Or, given the fact that I am bicuspid must the valve be replaced at the same time. What is recommended? Can I get the aorta repaired and given my condition down the road further get the valve replace if I develop valve issue? BIG QUESTION how large (centimeters) can I go beyond 5 centimeters before I must get surgery?