I am a 57 year old female and I was just diagnosed with bicuspid aortic valve, moderate aortic insufficiency and 4.7cm aortic aneurysm. I am 5'9. I find it very confusing about when is the appropriate time to operate. They have me on losarten, dyazide and atenolol but I get drastic highs and lows still with my blood pressure. Any ideas?