Day 1	An 84-year-old patient with severe aortic stenosis is admitted with ST-elevation myocardial infarction and Killip class III heart failure.
30 min after admission	Primary percutaneous coronary intervention is performed, with implantation of drug-eluting stents from the left main trunk to the left anterior descending coronary artery (segments 5–7).
14 h after admission	Emergent transcatheter aortic valve implantation is performed for cardiogenic shock, using a self-expandable bioprosthetic valve.
15 h after admission	An Impella CP device is inserted through the transcatheter heart valve to provide circulatory support.
8 days after admission	The Impella CP device is removed.
35 days after admission	The patient is discharged from the hospital.
3 months after admission	At his outpatient follow-up visit, the patient is in good condition, with a New York Heart Association functional class II. Transthoracic echocardiography shows improved cardiac function.