Hi everyone, I am the wife of Adam Nichols who is 40 years old and diagnosed with aortic valve insufficiency. There is also something else contributing to the regurgitation that is possibly a small sinus of the valsalva aneurysm or a fistula/communication between the aorta and the left ventricle. Possibly something else...after four opinions we are not 100%. He is getting a TEE on Thursday as the next diagnostic test. We have landed on two surgeons outside of Atlanta that we feel can provide the best chance at valve repair. They are Dr. Gerdisch in IN and Dr. Bavaria in PA. If anyone has any recent experience, it would bring me a lot of reassurance to hear from you and or help us with our decision on who to choose for the operation. We feel both are wonderful and blessed we have the time to travel to either...so how do you choose? Should I have gone to Cleveland Clinic given the hospital's expertise...please help! Surgery should be in the next week or two!