Cardiac diseases in AIDS surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]

Overview[edit | edit source]

Unless the patient has advanced immunosuppression or is at high risk for mortality from HIV related complications, cardiaovascular surgical procedures like valve replacement and coronary artery bypass can be performed safely.

Surgery[edit | edit source]

• Recurrent pericardial effusions are treated by subxiphoid pericardiotomy with placement of a pericardial window ^[1][2]. Alternatively, a balloon pericardiotomy can be performed to drain the pericardial fluid into pleural cavity ^[3].
• Surgical resection of primary cardiac lymphoma is attempted when the intracardiac masses cause significant obstruction to blood flow across the valves.
• Valve replacement surgery for treating valve incompetency.
• Coronary artery bypass surgery for treating coronary heart disease.

References[edit | edit source]

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