Successful treatment of <i>low-flow-low-gradient</i> aortic stenosis and complex coronary artery disease in a patient with severely depressed left-ventricular function by protected percutaneous coronary intervention and transfemoral transcatheter aor

This case demonstrates that Impella®-supported PCI prior to transfemoral TAVR is feasible and safe, even in the presence of a femoral Y-graft, in a patient with LFLG AS and severely reduced ejection fraction.