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MediumCardiologySevere aortic stenosisau-amcau-racp

A 62-year-old man presents with progressive exertional dyspnoea, orthopnoea and paroxysmal nocturnal dyspnoea. Echocardiography shows severe aortic stenosis with peak gradient 75 mmHg and valve area 0.7 cm². He has no significant comorbidities. What is the most appropriate management?

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