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MediumCardiologySevere aortic stenosisau-amcau-racp

A 69-year-old woman presents with new-onset exertional dyspnoea and a harsh ejection systolic murmur loudest at the right upper sternal border radiating to the carotids. Echocardiogram confirms severe calcific aortic stenosis. She is symptomatic but otherwise has few comorbidities. According to valve disease guidelines, what is the recommended management?

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