2010: The aortic valve was tricuspid, with mild sclerosis without systolic gradient. 2016: Mild aortic valve stenosis (peak systolic gradient: 25 mmHg, valve area: 1.50 cm2). New York Heart Association (NYHA) functional class I. 2017: Moderate aortic stenosis (peak systolic gradient: 34 mmHg, aortic valve area: 1.20 cm2). NYHA functional Class II. 2019: Low-flow, low-gradient, severe aortic stenosis (peak systolic gradient: 36 mmHg, aortic valve area: 0.97 cm2). NYHA functional class II–III. Due to his high surgical risk status, the heart team opted for transcatheter aortic valve implantation (TAVI). 2019: At 2 months post-TAVI, the signs of heart failure disappeared and the patient was asymptomatic.