I have moderate AI. Just had my Stress-Echo today (50 years old) and hit 18 minutes so good health. In anticipation of one day having to have my aortic valve replaced, I am wondering how cardiologists go about referrals to surgeons. I live in Seattle but read/hear that the Cleveland Clinic is the best place for this procedure. Should I fly to Cleveland and schedule a stress-echo with them to begin my assessment/rapport or just wait (maybe years?) until I need a valve replaced and then schedule surgery there "sight unseen"? Any suggestions? Thanks