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Revista chilena de cardiología

On-line version ISSN 0718-8560

Abstract

MUNOZ, Cecilia; CORSI, Óscar; PEREZ, Carlos  and  ZALAQUETT, Ricardo. Cardiac Surgery in HIV positive patients. Rev Chil Cardiol [online]. 2017, vol.36, n.1, pp.17-23. ISSN 0718-8560.  http://dx.doi.org/10.4067/S0718-85602017000100002.

Infection with human immunodeficiency virus (HIV+) is primarily acquired through sexual transmission and the number of infected people continues to increase. Anti-retroviral therapy (HAART) suppress viral replication and improves CD4 T cell count, increasing survival and the risk of developing chronic diseases. Cardiovascular disease is prevalent among these patients. Objective: To report our experience in patients positive for HIV undergoing cardiovascular surgery. Patients and Methods: We reviewed the Cardiovascular Surgery Service database from 2009 to 2015 to identify HIV-infected patients that underwent cardiovascular surgery. Results: There were 14 HIV positive patients. Most of them were receiving HAART and the viral load was undetectable in 11 patients Thee main route of infection was sexual (13/14 cases). Universal precautions to protect the surgical team were taken during surgery. These were effective in all cases. Coronary artery disease was the most common condition treated (9 cases), followed by severe valve disease (4). Only one patients had infective endocarditis. There was no mortality associated with the procedure. Al patients were alive and asymptomatic 3 years after surgery. Conclusion: Patients with HIV infection are likely to develop cardiovascular diseases requiring surgical treatment. These can be performed safely with great benefit in quality of life and survival.

Keywords : Cardiac surgery; acquired immunodeficiency syndrome.

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