Publications by authors named "J Eisenga"
Type A aortic dissection (TAAD) has been associated with thoracic endovascular aortic repair (TEVAR) for aortic conditions: dissection and aneurysm. Our purpose was to study a subset of patients who had an initial TEVAR for type B aortic dissection, followed by a TAAD, which was treated by open ascending aortic repair. Over a 6-year period, 171 consecutive patients underwent open ascending aortic repair for TAAD, of whom 21 (12%) had a previous cardiovascular procedure, 17 of which were endovascular.
View Article and Find Full Text PDFA congenitally malformed aortic valve, unicuspid (UAV), or bicuspid (BAV), occurs in about 1% of the population and is known to be more frequent in patients with aortic dissection. The clinical and operative findings in a series of 134 patients with spontaneous, acute type A aortic dissection were studied, comparing patients with normal and abnormal aortic valve morphology. The aortic valve was normal in 123 of 134 (92%) patients and abnormal in 11 of 134 (8%) patients: BAV in 10 of 134 (7.
View Article and Find Full Text PDFBackground: Although the Impella device has an established role in high-risk percutaneous intervention and cardiogenic shock, its role in open cardiac surgery remains unclear. We undertook this study to better understand the role of Impella support in cardiac surgical intervention.
Methods: This is a retrospective cohort study of consecutive patients who underwent cardiac surgery with surgically placed Impella 5.
Article Synopsis
- LVAD implantation significantly improves patient functional status, as shown by the New York Heart Association (NYHA) functional class, with most patients showing improvement at both 6-month and 12-month follow-ups.
- A retrospective study of 151 patients found that 92.62% improved at 6 months, with many achieving class I or II symptoms, and this improvement remained stable over 2 years.
- The study identified ischemic heart failure as a strong predictor of sustainable functional improvement following LVAD implantation, highlighting the potential benefits for high-risk patients.