How should I treat this aortic stenosis with small anatomy, low coronary offset and extremely horizontal aorta

This case has been accredited by EBAC with 1 CME credit

Case available in German

An 81-year-old patient with symptomatic severe aortic stenosis, a 74° horizontal aorta, and critically low coronary height—a challenging mix that pushed the heart team to weigh all procedural options. Discover how detailed CT analysis, intra-procedural strategy, and step-by-step imaging assessments guided their approach. What would you have done?

EBAC