Cardiovascular Surgery in Patients With HIV: Epidemiology, Current Indications, and Long-Term Outcome

Castillo, Javier G.; Adams, David H.; Rahmanian, Parwis B.; Filsoufi, Farzan

doi:10.1016/s1885-5857(08)60161-9

Cited by 3 publications

(7 citation statements)

References 22 publications

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“…(13) Some would want ARV usage to reduce VL, patients to be in a stable state and would seemingly accept patients with AIDS. (15,18,19) The very good results emerging in the immediate and medium term in the HAART era (post-1996) would support this. Surgery in the carefully assessed patient with AIDS, not on treatment, in the absence of OI and standard contraindications for surgery would now seem practical, immune reconstitution and initiation of ARV therapy being born in mind.…”

Section: Some Answersmentioning

confidence: 81%

“…(13,19) They considered it practical to offer HIV+ as well as AIDS patients cardiac surgery with expectation of a good outcome, in view of the longer life expectancy related to ART usage.…”

Section: Ie -Infective Endocarditis Mo -Months Vl -Viral Load Aie mentioning

confidence: 99%

“…(13,18) Recurrent IE in IVDA relates to a return to drugs rather than immune compromise. (2,13,16) Based on limited available reports, CABG has better results than valve surgery (18,19) and can be done less invasively. More cases are being referred, possibly due to PI usage and disturbed lipid profi les.…”

Section: Some Answersmentioning

confidence: 99%

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Human Immunodeficiency Virus disease and cardiac surgery – where are we?

Blyth¹

2017

SAHJ

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operatively and 3 died of sepsis after completion of appropriate antibiotic therapy. Three with pre-operative control of AIE left VALVE SURGERYThe landmark paper by Frater and colleagues (2) in 1989 showed that human immuno-defi ciency virus (HIV+) patients could be taken through surgery successfully. Striking features were: all but 1 of the 10 patients having 11 valve replacements, for infective endocarditis (IE) were intravenous drug addicts (IVDA), and, further, despite conventional medical therapy, 7 of these still had active infective endocarditis (AIE) at surgery (Table 1)

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Section: Some Answersmentioning

confidence: 81%

“…(13,19) They considered it practical to offer HIV+ as well as AIDS patients cardiac surgery with expectation of a good outcome, in view of the longer life expectancy related to ART usage.…”

Section: Ie -Infective Endocarditis Mo -Months Vl -Viral Load Aie mentioning

confidence: 99%

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Human Immunodeficiency Virus disease and cardiac surgery – where are we?

Blyth¹

2017

SAHJ

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“…Reports have suggested that the most common initial presentation of the HIV patient with CAD is acute myocardial infarction and its mortality can go as high as 24%. In addition, more than 40% test positive to triple vessel disease [39][40][41].…”

Section: Hiv and Atherosclerotic Coronary Artery Diseasementioning

confidence: 99%

“…However, during the post-ART period there was a signiicant increase in the risk of ischemic cardiac disease in the HIV-infected population. The 3-year risk for myocardial infarction was 3.6-fold higher in patients on ART in comparison to those who were not [34,[38][39][40][41][42][43].…”

Section: Hiv and Atherosclerotic Coronary Artery Diseasementioning

confidence: 99%

HIV-Associated Vasculopathy

Alqaqa¹

2017

HIV/AIDS - Contemporary Challenges

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HIV vasculopathy is a wide range of clinical spectrum related to HIV infection. Increasing longevity of HIV-infected individuals secondary to antiretroviral therapy advancements has resulted in increasing the number of patients with HIV-related vasculopathy. Clinicians need to be aware of the diferent types of HIV vasculopathy to be able to diagnose and manage the pathology and improve patient care.

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