Coronary artery bypass grafting in a patient with human immunodeficiency virus: role of perioperative active anti-retroviral therapy.
In a patient with severe ischemic heart disease and advanced human immunodeficiency virus (HIV) infection, vigorous perioperative treatment with anti-retroviral agents was given and coronary artery bypass surgery using cardiopulmonary bypass was successfully performed. This strategy could become the standard for patients with cardiovascular disease and advanced HIV infection. The following aspects of this case require further investigation: (1) lack of a reactive increase in the neutrophil count, (2) transient extreme reduction of lymphocytes, and (3) a relative decrease in the CD8+ cell ratio.
Imanaka
K
K
Department of Cardiothroacic Surgery, University of Tokyo, Japan.
Takamoto
S
S
Kimura
S
S
Morisawa
Y
Y
Ohtsuka
T
T
Suematsu
Y
Y
Shirai
T
T
Inoue
K
K
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000188:drug therapy*; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery*; D015497:HIV-1; D006801:Humans; D008297:Male; D008875:Middle Aged
D019380:Anti-HIV Agents