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A 66 year old man presents to your cardiology office complaining of dyspnea, angina, and exertional syncope. He reports he is otherwise healthy. On exam, you head a crescendo-decrescendo systolic ejection murmur at the right upper sternal border. Echo shows mean valve gradient of 60 mmHg. What is the best course of treatment for this patient?a. Surgical AVR with bioprosthetic valve.b. Surgical AVR with mechanical valve.c. Start the patient on a beta blocker and Aspirin.d. Percutaneous BAV.
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