Two Recent Episodes Of in Medicine / Internal Medicine — 69yo Man | Cardiology | SMLE Q#1075
SMLE Question #1075
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 69-year-old man has several months of exertional chest tightness and progressive dyspnea, with two recent episodes of exertional syncope. Cardiovascular examination shows a delayed carotid upstroke and a harsh late-peaking systolic murmur at the right upper sternal border radiating to the carotids. Transthoracic echocardiography shows severe calcific aortic stenosis with a high transvalvular gradient and preserved left ventricular ejection fraction. What is the most appropriate definitive management for this patient?
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