How soon before I need surgery?

[Bethyfish]

I have both a bicuspid aortic valve and a dilated ascending aorta at 4.2 cm.  My last echocardiogram said that my bicuspid aortic valve had moderate aortic insufficiency and a normal sized aortic root with the dilated ascending aorta at 4.2 cm.  It also stated that I had mild mitral regurgitation, mild tricuspid reguritation with estimated PASP 27 mmHg.  I don't entirely understand what all of this means.  I am 5'4" and weigh 250 pounds.  I have lost 50 pounds over the last 2 years.  My blood pressure is normal.  I am going for a repeat echo in July.  How likely is it that I will need surgery soon?  Why is it more likely that a person with a bicuspid aortic valve needs surgery when she has a dilated ascending aorta also?


This discussion is related to dilatation of ascending aorta.