Grind the heel of the tensioner a little bit. I run a 20/43 in the same chaincase.
A 19/43 combo = 62 gear teeth 62/2=31.... add that to 42.24 and it equals 73.24, which is how much chain length you need, round up to the next nearest even # equals 74.
How'd I get 42.24?? chaincase length center to center = 7.92" A chain has to span that distance twice, once up, once down. A chain pitch is .375" long between pins. So 7.92" x 2 = 15.84, divide that distance by .375" and it equals 42.24, which is how many chain pitches it takes to span the center to center distance (7.92") twice. Then of course counting gear teeth totals (top and bottom gear) and dividing by two is because the chain only engages half a gear at a time, and each tooth requires a chain pitch (.375")
Anyhow, going to bigger gears fills the space and the tensioner gets in the way, grinding it back is not a problem, been running it for 5+ years.