Right ventricular failure was considered as a potential etiology of hypotension in the setting of LVAD and inflammatory surge. The patient was unable to be transferred to the catheterization laboratory for invasive hemodynamic assessment owing to COVID-19. Pulmonary artery catheterization was attempted at the bedside, but placement was unsuccessful. A central line was used to measure central venous pressure (17 mm Hg) and oxygen saturation (central venous oxygen saturation of 75%). Transthoracic echocardiogram revealed baseline moderate right ventricular dysfunction. LVAD parameters otherwise remained stable.