<Learning objective: The combination of severe aortic stenosis (AS), bleeding due to Heyde's syndrome and critical coronary artery disease presents a management challenge. This case demonstrated the efficacy of balloon aortic valvuloplasty in resolving gastrointestinal bleeding, with intravascular ultrasound-guided percutaneous coronary intervention with a bare metal stent and single anti-platelet therapy safely and effectively addressing critical coronary stenosis, allowing definitive treatment of AS by transcatheter aortic valve implantation to be performed as a staged procedure.>