Successful coronary artery bypass surgery in a patient with AIDS.
We report the case of a 47-year-old man with AIDS who underwent a successful quadruple coronary artery bypass operation. The improving prognosis of patients with HIV/AIDS, in addition to the reported incidence of plasma lipid abnormalities in patients receiving protease inhibitors, are laying the groundwork for a larger population in which premature coronary artery disease develops. Operative risk, immunosuppressive effect of cardiopulmonary bypass, and practical considerations in the care of these patients are discussed.
Mahan
V L
VL
Division of Cardiothoracic Surgery, UMass Memorial Health Care, Worcester, Massachusetts, USA.
Balaguer
J M
JM
Pezzella
A T
AT
Vander Salm
T J
TJ
Mady
B J
BJ
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000601:surgery; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D008875:Middle Aged