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Professor Fabien Doguet, cardiac surgeon at the Jacques Cartier Private Hospital in Massy, explores the advances and strategies in the surgical management of aortic stenosis in 2024. He reviews the current recommendations for the treatment of severe aortic stenosis, and the profile of patients responding to them. He discusses the developments in surgical techniques, now less invasive, which promote improved rehabilitation (RAAC) and allow patients to resume their activities more quickly thanks to perioperative optimizations (pre, per and post-operative). He also takes stock of the options available for surgical replacement of the aortic valve in 2024, detailing the characteristics and indications of bioprostheses and mechanical valves. His explanations in detail. #cardiology #valvular #cardiacsurgery