Emergent Percutaneous Biventricular Support during Transcatheter Aortic Valve Replacement

Coronary obstruction following transcatheter aortic valve replacement (TAVR) is a dreaded complication which occurs in less than 1% of the procedures. Temporary hemodynamic support may be required in cases of hemodynamic collapse while performing a high-risk percutaneous coronary intervention in these patients. A challenging case is described where emergent percutaneous biventricular support (Tandem Heart for right ventricular support and Impella CPTM for left ventricular support) was used as a bridge to recovery in a patient with coronary obstruction during TAVR with the Edwards SAPIEN prosthesis.