Great question and the correct answer is: ALWAYS feel free to refer a complex case like this to advanced pedi/ACHD centers. In terms of whether the patient will need or get a prompt AVR… it DEPENDS!First, we need to prove severe aortic stenosis (mean of 70 mmHg seems legit). As is often the c...

In a 30-year career, as a very busy Board-certified general cardiologist and Board-certified adult congenital cardiologist, I have seen patients with profound heart failure due to initially unrecognized aortic stenosis diurese 50 pounds after hospitalization and go on to have AVR with normalization ...