Repair type I aortic dissection in a patient with human immunodeficiency virus infection.
A 57-year-old man with human immunodeficiency virus (HIV) infection was evaluated in October 1997 with complaints of weakness of the right lower extremity. A chest computerized axial tomographic scan revealed a type I aortic dissection. He underwent surgical repair including resuspension of the aortic valve and placement of a 32-mm interposition graft between the aortic root and the transverse arch. Postoperatively he required abdominal aorta fenestration and stenting for ischemia of the left lower extremity. Follow-up magnetic resonance imaging 3(1)/(2) years postoperatively showed a normal-sized ascending and transverse aorta and the residual dissection in the descending thoracic and abdominal aorta. The thoracic and abdominal aorta diameters have remained stable. Select patients with type I aortic dissection and HIV infection are candidates for surgical repair.
Baciewicz
Frank A
FA
Department of Cardiothoracic Surgery, Harper University Hospital, Wayne State University, Detroit, Michigan 48201, USA. fbaciewi@dmc.org
MacArthur
Rodger D
RD
Crane
Lawrence R
LR
D000784:Aortic Dissection / Q000145:classification / Q000150:complications / Q000601:surgery*; D001014:Aortic Aneurysm / Q000145:classification / Q000150:complications / Q000601:surgery*; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged