{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:22:16Z","timestamp":1760955736188},"reference-count":2,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2017,9,10]],"date-time":"2017-09-10T00:00:00Z","timestamp":1505001600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 63\u2010year\u2010old man with an ischaemic cardiomyopathy, supported by the <jats:styled-content style=\"fixed-case\">HeartWare<\/jats:styled-content> left ventricular assist device (LVAD), presented with ventricular tachycardia and inferior <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content>\u2010elevation myocardial infarction (STEMI) with associated acute right ventricular (RV) dysfunction. He underwent primary percutaneous coronary intervention with balloon angioplasty and placement of three drug\u2010eluting stents in the proximal\u2010to\u2010mid right coronary artery. Post\u2010procedure, ventricular arrhythmias abated, RV systolic dysfunction resolved and RV size normalised. Percutaneous coronary intervention (PCI) facilitated by the use of miniaturised percutaneous LVAD has become an increasingly available treatment option for high\u2010risk patients. <jats:styled-content style=\"fixed-case\">PCI<\/jats:styled-content> in patients on established full mechanical circulatory support is not a common occurrence. Indeed, to our knowledge, this is the first case of primary percutaneous coronary intervention on an <jats:styled-content style=\"fixed-case\">LVAD<\/jats:styled-content>\u2010supported heart reported in the medical literature. The case raises several specific issues that are of peculiar interest to clinicians involved in the care of patients supported by mechanical assist devices who experience an acute coronary syndrome requiring emergent revascularisation.<\/jats:p>","DOI":"10.1111\/imj.13530","type":"journal-article","created":{"date-parts":[[2017,9,11]],"date-time":"2017-09-11T02:25:15Z","timestamp":1505096715000},"page":"1068-1071","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Primary percutaneous coronary intervention for inferior <scp>ST<\/scp>\u2010segment elevation myocardial infarction in a patient supported by the <scp>HeartWare<\/scp> left ventricular assist device"],"prefix":"10.1111","volume":"47","author":[{"given":"Roberto","family":"Spina","sequence":"first","affiliation":[{"name":"Department of Interventional Cardiology St Vincent's Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maithri","family":"Siriwardena","sequence":"additional","affiliation":[{"name":"Department of Intensive Care St Vincent's Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Bart","sequence":"additional","affiliation":[{"name":"Department of Cardiac Transplantation and Advanced Heart Failure Service St Vincent's Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayooran","family":"Namasivayam","sequence":"additional","affiliation":[{"name":"Department of Cardiac Transplantation and Advanced Heart Failure Service St Vincent's Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Connellan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery St Vincent's Hospital  Sydney New South 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