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12 Figure 1. Choice of TAVR Versus Surgical AVR in the Patient With Severe Symptomatic AS (2017) Severe AS Symptomatic (stage D) TAVR (Class IIa) Low surgical risk Surgical AVR (Class I) Intermediate surgical risk High surgical risk Prohibitive surgical risk Surgical AVR (Class I) Surgical AVR or TAVR (Class I) TAVR (Class I) Aortic Stenosis