We report a case of acute right ventricular failure in a patient with
cardiogenic shock on left-sided mechanical circulatory support with
Impella 5.0. The patient was successfully bridged to heart
transplantation using additional right-sided support with ProtekDuo. Key
learning points of the case include prompt recognition of right
ventricular failure in patients on left-sided support, early
consideration of right-ventricular mechanical support platforms, and
timely deployment of right-sided mechanical support.