Cardiac surgery in three patients infected with the human immunodeficiency virus

被引:2
作者
Namai A. [1 ]
Sakurai M. [1 ]
Akiyama M. [1 ]
机构
[1] Department of Cardiovascular Surgery, National Hospital Organization Sendai Medical Center, Miyagino-ku, Sendai 983-8520
关键词
CD4[!sup]+[!/sup] T-lymphocyte count; Highly active antiretroviral therapy; Human immunodeficiency virus infection; Open heart surgery with cardiopulmonary bypass;
D O I
10.1007/s11748-008-0276-1
中图分类号
学科分类号
摘要
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.2 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. © 2008 The Japanese Association for Thoracic Surgery.
引用
收藏
页码:465 / 467
页数:2
相关论文
共 9 条
  • [1] AIDS Epidemic Update: December 2006, (2006)
  • [2] D'Arminio Monforte A., Sabin C.A., Phillips A., The changing incidence of AIDS events in patients receiving highly active antiretroviral therapy, Arch Intern Med, 165, pp. 416-423, (2005)
  • [3] Sudano I., Spiker L.E., Noll G., Corti R., Weber R., Luscher T.F., Cardiovascular disease in HIV infection, Am Heart J, 151, pp. 1147-1155, (2006)
  • [4] Pollock R., Ames F., Rubio P., Protracted severe immune dysregulation induced by cardiopulmonary bypass: A predisposing etiologic factor in blood transfusion related AIDS?, J Clin Lab Immunol, 22, pp. 1-5, (1987)
  • [5] Aris A., Pomar J.L., Saura E., Cardiopulmonary bypass in HIV-positive patients, Ann Thorac Surg, 55, pp. 1104-1108, (1993)
  • [6] Flum D., Tyras D., Wallack M., Coronary artery bypass grafting in patients with human immunodeficiency virus, J Card Surg, 12, pp. 98-101, (1997)
  • [7] Sausa Uva M., Jebara V.A., Fabiani J.N., Cardiac surgery in patients with human immunodeficiency virus infection: Indications and results, J Card Surg, 7, pp. 240-244, (1992)
  • [8] Mahan V., Balaguer J., Pezzella T., Vender Salm T., Mady B., Successful coronary artery in a patient with AIDS, Ann Thorac Surg, 70, pp. 1698-1699, (2000)
  • [9] Narushima Y., Ishiyama S., Kawashima K., Shimamura H., Yamaki T., Yamauchi H., Operated hepatocellular carcinoma in two HIV-and HCV-positive hemophilic patients, J Hepatobiliary Pancreat Surg, 11, pp. 207-210, (2004)