Long-term results are not yet available for homografts but many physicians believe these valves will have a limited lifespan, like bioprosthetic valves. In your case, I think a mechanical valve or an aortic valve homograft would be the best option, depending on your feelings about long-term anticoagulation. Aortic valve replacements are often done via a minimally invasive approach but since you've previously had open heart surgery, that may not be possible. The decision on what type of valve is best for you eventually rests with you, your cardiologist, and a cardiothoracic surgeon. I hope you find this information useful.
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