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HIV-Associated Aortitis Causing Rapid Development of an Abdominal Aortic Aneurysm
Ashley Rosenberg1, Pamela Bailey2, Margaret Rigamer3
1Department of Surgery, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Annals of Vascular Surgery
|February 5, 2020
Summary
Human immunodeficiency virus (HIV) infection can cause rare vasculitides. This case study details a successful endovascular repair of a rapidly developing abdominal aortic aneurysm in an HIV-positive patient.
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Vascular Surgery
Background:
- Vasculitides are uncommon but serious complications of human immunodeficiency virus (HIV) infection.
- These vascular pathologies can be infectious or noninfectious.
- Prompt diagnosis and management are crucial for patient outcomes.
Observation:
- A 68-year-old female patient with HIV, on antiretroviral therapy, presented with a symptomatic abdominal aortic aneurysm.
- The aneurysm exhibited rapid development, occurring within one week.
- This highlights the potential for acute vascular events in HIV-positive individuals.
Findings:
- The patient successfully underwent endovascular aneurysm repair.
- Follow-up computed tomography imaging at 16 months confirmed complete resolution of the abdominal aortic aneurysm.
- This demonstrates the efficacy of endovascular repair in managing HIV-associated aortic aneurysms.
Implications:
- This case underscores the importance of considering vasculitis in HIV-infected patients presenting with vascular emergencies.
- Endovascular repair offers a viable treatment option for abdominal aortic aneurysms in this population.
- Further research into HIV-associated vascular pathologies is warranted to improve clinical management.
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