Severe AS Perioperative Decision — FRCA Final MCQ

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HardPreoperative AssessmentSevere AS Perioperative DecisionFRCA Final

Severe aortic stenosis (AVA 0.8 cm², mean gradient 48, normal EF) listed for hip replacement. Approach?

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Correct answer: C — Refer cardiology for TAVI/AVR consideration before surgery

Severe symptomatic AS (AVA <1.0, gradient >40) carries 5-10% perioperative mortality. ESC/ACC recommend valve intervention (TAVI/AVR) before elective non-cardiac surgery in symptomatic patients. MDT discussion essential.

Reference: ESC/EACTS – 2024 – Valvular heart disease; ACC/AHA – 2022