Document Detail

Cardiac surgery in patients infected with human immunodeficiency virus.
MedLine Citation:
PMID:  11198308     Owner:  NLM     Status:  MEDLINE    
From January 1991 through December 1999, 5 consecutive patients who were infected with human immunodeficiency virus presented in need of cardiac surgery. All were men; the median age was 44 years. Two of them presented with mitral and aortic infectious valve endocarditis, 1 with tricuspid endocarditis, 1 with prosthetic valve endocarditis, and 1 with pericarditis and pericardial tamponade. Under cardiopulmonary bypass, the 4 patients with endocarditis underwent these procedures: mitral and aortic valve replacement (2), tricuspid valve replacement (1), and aortic valve replacement (reoperation) and concomitant repair of a mycotic ascending aortic aneurysm (1). In the patient who had pericardial effusion, subxifoid pericardiostomy and drainage were performed, and a pericardial window was created. There was no intraoperative mortality. The patient with pericardial effusion died 8 days after surgery; he was in septic shock and had multiple organ failure. Two deaths occurred at 2 and 63 months, due to hemoptysis and sudden death, respectively. The 2 patients who underwent double valve replacement are alive and in good condition after a median follow-up of 71 months. Cardiac surgery is indicated in selected patients infected by the human immunodeficiency virus. These patients are frequently drug abusers or homosexual. Valvular endocarditis is the most common finding. Hospital morbidity and mortality rates are higher than usual in this group of patients.
C Abad; M A Cárdenes; P C Jiménez; M V Armas; P Betancor
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  27     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2000  
Date Detail:
Created Date:  2001-01-23     Completed Date:  2001-03-15     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  356-60     Citation Subset:  IM    
Department of Cardio-Vascular Surgery, University Hospital de Gran Canaria Dr Negrín, Las Palmas de Gran Canaria, Spain.
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MeSH Terms
AIDS-Related Opportunistic Infections / surgery
Aortic Aneurysm / complications,  surgery
Cardiac Surgical Procedures*
Endocarditis, Bacterial / complications,  surgery*
HIV Infections / complications*
Middle Aged
Pericarditis / complications,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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