How should I treat a patient with a stenosed bicuspid aortic valve and an unexpected finding during TAVI

Background: A 77-year-old female with progressive dyspnoea. Investigation: Physical examination, transthoracic echocardiography, transoesophageal echocardiography, computed tomography, coronary angiography. Diagnosis: Severe aortic stenosis of a bicuspid valve. Management: Transfemoral transaortic valve implantation with a self-expanding prosthesis. copyright