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Severe aortic stenosis — RCPSC IM MCQ

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HardCardiologySevere aortic stenosisRCPSC IM

A 79-year-old man has severe calcific aortic stenosis with valve area 0.7 cm2, mean gradient 48 mm Hg, and preserved LVEF. He has exertional syncope and frailty but remains independent in activities of daily living. Coronary angiography shows non-obstructive disease. What is the most appropriate management?

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Correct answer: E — Referral to a heart valve team for aortic valve replacement planning

Symptomatic severe aortic stenosis carries high risk and requires valve replacement assessment. A multidisciplinary valve team should decide between transcatheter and surgical approaches based on anatomy, risk, and goals.

Reference: CCS valvular heart disease practice guidance