Introduction Aortic stenosis (AS) is the most common primary valve disease and an important cause of morbidity and mortality worldwide. Echocardiography is the first-line method for its diagnosis, quantification of severity, prognosis, and determination of intervention timing. The association of maximum velocity (Vmax) ≥ 4m/s, aortic valve area (AVA) ≤ 1.0 cm², and mean gradient (MG) ≥ 40 mmHg defines the diagnosis of classic severe AS. However, MG and AVA are discrepant (AVA ≤ 1.0 cm², MG < 40 mmHg) [...]