title: Cardiac surgery in three patients infected with the human immunodeficiency virus.
abstract: Human immunodeficiency virus infection (HIV) is the fourth leading cause of death worldwide.1 Recently, the introduction of highly active antiretroviral therapy (HAART) improved the survival rate of HIV-infected patients. However, the number of HIV-infected patients to be referred for cardiac surgery will increase because cardiovascular risk is increased with the use of HAART. Herein, we report three HIV-infected patients who underwent open heart surgery with cardiopulmonary bypass; we followed their progress by monitoring their CD4+ T-lymphocyte counts. Based on our experience, it seems that cardiopulmonary bypass does not accelerate progression of HIV disease.
authors.affiliation: Department of Cardiovascular Surgery, National Hospital Organization Sendai Medical Center, 2-8-8 Miyagino, Miyaginoku, Sendai, 983-8520, Japan.
authors.forename: Asako
authors.initials: A
authors.lastname: Namai
authors.forename: Masahiro
authors.initials: M
authors.lastname: Sakurai
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Akiyama
mesh_terms: D018791:CD4 Lymphocyte Count; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D015658:HIV Infections / Q000150:complications* / Q000276:immunology / Q000601:surgery; D006349:Heart Valve Diseases / Q000150:complications / Q000276:immunology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
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