Intraoperative ECMO assistance during TAVI for aortic insufficiency in an Asian patient with LVAD support

A 69‐year‐old male underwent concomitant left ventricular assist device (LVAD) implantation and aortic valve repair procedure for moderate aortic insufficiency (AI). Due to recurrence of symptomatic heart failure and post‐repair AI deterioration from trivial to moderate‐to‐severe insufficiency 2 months later, transcatheter aortic valve implantation (TAVI) was arranged. During TAVI, intraoperative extracorporeal membrane oxygenation was used to maintain stable haemodynamics and to ensure a safe environment for prosthesis deployment. Postoperative 5 month follow‐up revealed no AI and no paravalvular leakage.