Word: RCP Post-Op Cardiac Surgery

A cardiac catheter study is shown of an elderly male with increasing episodes of CCF. He was trialled on an ACE inhibitor and experienced pre-syncope. The carotid pulse is noted to be diminished. (Cath tracing shows large LV to aortic gradient 100 mmHg at peak, only one heart beat shown but ECG shows an ectopic). The best management would be: ................
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