<PropertyGroup>
    <TargetFrameworkVersion>v4.5.1</TargetFrameworkVersion>
    <TargetPlatformVersion>8.1</TargetPlatformVersion>
  </PropertyGroup>

  <ItemGroup>
    <Reference Include="System" />
    <Reference Include="System.ComponentModel.DataAnnotations" />
    <Reference Include="System.Core" />
    <Reference Include="System.ObjectModel" />
    <Reference Include="System.Xml.Linq" />
    <Reference Include="System.Data.DataSetExtensions" />
    <Reference Include="Microsoft.CSharp" />
    <Reference Include="System.Data" />
    <Reference Include="System.Xml" />
    <Reference Include="System.Threading" />
    <Reference Include="System.Threading.Tasks" />
  </ItemGroup>
  <ItemGroup>
    <Reference Include="Windows" />
    <Reference Include="System.Runtime" />
    <Reference Include="System.Runtime.WindowsRuntime" />
  </ItemGroup>

 install-package Nito.AsyncEx

using System;
using System.IO;
using Windows.Storage.Streams;

namespace ConsoleWin81PdfApiTest
{
    public static class MicrosoftStreamExtensions
    {
        public static IRandomAccessStream AsRandomAccessStream(this Stream stream)
        {
            return new RandomStream(stream);
        }

    }

    class RandomStream : IRandomAccessStream
    {
        readonly Stream _internstream;

        public RandomStream(Stream underlyingstream)
        {
            _internstream = underlyingstream;
        }

        public IInputStream GetInputStreamAt(ulong position)
        {
            _internstream.Position = (long)position;
            return _internstream.AsInputStream();
        }

        public IOutputStream GetOutputStreamAt(ulong position)
        {
            _internstream.Position = (long)position;
            return _internstream.AsOutputStream();
        }

        public ulong Size
        {
            get
            {
                return (ulong)_internstream.Length;
            }
            set
            {
                _internstream.SetLength((long)value);
            }
        }

        public bool CanRead
        {
            get { return _internstream.CanRead; }
        }

        public bool CanWrite
        {
            get { return _internstream.CanWrite; }
        }

        public IRandomAccessStream CloneStream()
        {
            throw new NotSupportedException();
        }

        public ulong Position
        {
            get { return (ulong)_internstream.Position; }
        }

        public void Seek(ulong position)
        {
            _internstream.Seek((long)position, SeekOrigin.Begin);
        }

        public void Dispose()
        {
            _internstream.Dispose();
        }

        public Windows.Foundation.IAsyncOperationWithProgress<IBuffer, uint> ReadAsync(IBuffer buffer, uint count, InputStreamOptions options)
        {
            return GetInputStreamAt(Position).ReadAsync(buffer, count, options);
        }

        public Windows.Foundation.IAsyncOperation<bool> FlushAsync()
        {
            return GetOutputStreamAt(Position).FlushAsync();
        }

        public Windows.Foundation.IAsyncOperationWithProgress<uint, uint> WriteAsync(IBuffer buffer)
        {
            return GetOutputStreamAt(Position).WriteAsync(buffer);
        }
    }
}

using System;
using System.IO;
using System.Threading.Tasks;
using Windows.Data.Pdf;
using Nito.AsyncEx;

namespace ConsoleWin81PdfApiTest
{
    class Program
    {
        static void Main(string[] args)
        {
            AsyncContext.Run(async () =>
            {
                await test();
            });
        }

        private static async Task test()
        {
            using (var randomAccessStream = File.Open("PieChartPdfReport.pdf", FileMode.Open).AsRandomAccessStream())
            {
                var pdfDocument = await PdfDocument.LoadFromStreamAsync(randomAccessStream);
                for (uint i = 0; i < pdfDocument.PageCount; i++)
                {
                    using (var page = pdfDocument.GetPage(i))
                    {
                        /*var renderOptions = new PdfPageRenderOptions
                        {
                            BackgroundColor = Colors.LightGray,
                            DestinationHeight = (uint) (page.Size.Height*10)
                        };*/

                        using (var stream = File.Open(string.Format("page-{0}.png", i + 1), FileMode.OpenOrCreate).AsRandomAccessStream())
                        {
                            await page.RenderToStreamAsync(stream/*, renderOptions*/);
                            await stream.FlushAsync();
                        }
                    }
                }
            }
        }
    }
}