2nd May 2024

A 72-year-old man with a history of hypertension presents with shortness of breath and chest discomfort on exertion.

A 72-year-old man with a history of hypertension presents with shortness of breath and chest discomfort on exertion. An echocardiogram reveals severe aortic stenosis with a valve area of 0.9 cm² and normal left ventricular ejection fraction. He is otherwise fit with no other comorbidities.

Which is the most appropriate management plan?