Cardiac diseases in AIDS surgery: Difference between revisions
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{{Cardiac diseases in AIDS}} | {{Cardiac diseases in AIDS}} | ||
{{CMG}}; {{AE}} {{RT}} | {{CMG}}; {{AE}} {{RT}} | ||
==Overview== | |||
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== | ==Surgery== | ||
Recurrent pericardial effusions are treated by subxiphoid pericardiotomy with placement of a pericardial window <ref name="pmid7781340">{{cite journal |author=Flum DR, McGinn JT, Tyras DH |title=The role of the 'pericardial window' in AIDS |journal=[[Chest]] |volume=107 |issue=6 |pages=1522–5 |year=1995 |month=June |pmid=7781340 |doi= |url=}}</ref><ref name="pmid9583822">{{cite journal |author=Gouny P, Lancelin C, Girard PM, Hocquet-Cheynel C, Rozenbaum W, Nussaume O |title=Pericardial effusion and AIDS: benefits of surgical drainage |journal=[[European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery]] |volume=13 |issue=2 |pages=165–9 |year=1998 |month=February |pmid=9583822 |doi= |url=}}</ref>. Alternatively, a balloon pericardiotomy can be performed to drain the pericardial fluid into pleural cavity <ref name="pmid8417048">{{cite journal |author=Ziskind AA, Pearce AC, Lemmon CC, ''et al.'' |title=Percutaneous balloon pericardiotomy for the treatment of cardiac tamponade and large pericardial effusions: description of technique and report of the first 50 cases |journal=[[Journal of the American College of Cardiology]] |volume=21 |issue=1 |pages=1–5 |year=1993 |month=January |pmid=8417048 |doi= |url=}}</ref>. | * Recurrent pericardial effusions are treated by subxiphoid pericardiotomy with placement of a [[pericardial window]] <ref name="pmid7781340">{{cite journal |author=Flum DR, McGinn JT, Tyras DH |title=The role of the 'pericardial window' in AIDS |journal=[[Chest]] |volume=107 |issue=6 |pages=1522–5 |year=1995 |month=June |pmid=7781340 |doi= |url=}}</ref><ref name="pmid9583822">{{cite journal |author=Gouny P, Lancelin C, Girard PM, Hocquet-Cheynel C, Rozenbaum W, Nussaume O |title=Pericardial effusion and AIDS: benefits of surgical drainage |journal=[[European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery]] |volume=13 |issue=2 |pages=165–9 |year=1998 |month=February |pmid=9583822 |doi= |url=}}</ref>. Alternatively, a balloon pericardiotomy can be performed to drain the [[pericardial fluid]] into [[pleural cavity]] <ref name="pmid8417048">{{cite journal |author=Ziskind AA, Pearce AC, Lemmon CC, ''et al.'' |title=Percutaneous balloon pericardiotomy for the treatment of cardiac tamponade and large pericardial effusions: description of technique and report of the first 50 cases |journal=[[Journal of the American College of Cardiology]] |volume=21 |issue=1 |pages=1–5 |year=1993 |month=January |pmid=8417048 |doi= |url=}}</ref>. | ||
* Surgical resection of primary cardiac lymphoma is attempted when the intracardiac masses cause significant obstruction to blood flow across the valves. | |||
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== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[CME Category::Cardiology]] | |||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Disease]] | |||
Latest revision as of 17:19, 18 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
Overview
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
- 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
- ↑ Flum DR, McGinn JT, Tyras DH (1995). "The role of the 'pericardial window' in AIDS". Chest. 107 (6): 1522–5. PMID 7781340. Unknown parameter
|month=ignored (help) - ↑ Gouny P, Lancelin C, Girard PM, Hocquet-Cheynel C, Rozenbaum W, Nussaume O (1998). "Pericardial effusion and AIDS: benefits of surgical drainage". European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery. 13 (2): 165–9. PMID 9583822. Unknown parameter
|month=ignored (help) - ↑ Ziskind AA, Pearce AC, Lemmon CC; et al. (1993). "Percutaneous balloon pericardiotomy for the treatment of cardiac tamponade and large pericardial effusions: description of technique and report of the first 50 cases". Journal of the American College of Cardiology. 21 (1): 1–5. PMID 8417048. Unknown parameter
|month=ignored (help)