Successful coronary artery bypass surgery in a patient with AIDS
V L Mahan1, J M Balaguer, A T Pezzella
1Division of Cardiothoracic Surgery, UMass Memorial Health Care, Worcester, Massachusetts, USA.
Abstract:
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.
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