My surgeon offered the option of a less invasive procedure which I believe is distinct from TAVR - entering through the side of the chest and not opening the chest cavity. I told him to undertake the procedure that he felt best at performing. So "Aztec cardio" it was...

i was fortunate. my replacement was due to being born with a two flap aortic valve, instead of the standard three, and I was otherwise in pretty good shape. Looking back, I am grateful that I remained active through my adult life.