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Ann Thorac Surg 2000;70:1698-1699
© 2000 The Society of Thoracic Surgeons

Case report

Successful coronary artery bypass surgery in a patient with AIDS

Vicki L. Mahan, MDa, Jorge M. Balaguer, MDa, A. Thomas Pezzella, MDa, Thomas J. Vander Salm, MDa, Brian J. Mady, MDb

a Division of Cardiothoracic Surgery, UMass Memorial Health Care, Worcester, Massachusetts, USA
b Division of Infectious Disease, UMass Memorial Health Care, Worcester, Massachusetts, USA

Address reprint requests to Dr Balaguer, Department of Surgery, UMass Memorial Medical Center, 55 Lake Ave N, Worcester, MA 01655

We report the case of a 47-year-old man with AIDS who underwent a successful quadruple coronary artery bypass operation. The improving prognosis of patients with HIV/AIDS, in addition to the reported incidence of plasma lipid abnormalities in patients receiving protease inhibitors, are laying the groundwork for a larger population in which premature coronary artery disease develops. Operative risk, immunosuppressive effect of cardiopulmonary bypass, and practical considerations in the care of these patients are discussed.




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