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How should I treat a severe quadricuspid aortic valve stenosis in a 61-year old patient?

In collaboration with EuroIntervention Journal

A 61-year-old male presented with a symptomatic aortic valve stenosis. Already known to have an ischemic cardiomyopathy since 2011, he had undergone multiple interventions in all three coronary vessels and had a preventive defibrillator implanted due to a significantly reduced ejection fraction…