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Ann Thorac Surg 2003;76:917-919
© 2003 The Society of Thoracic Surgeons

Case report

Repair type I aortic dissection in a patient with human immunodeficiency virus infection

Frank A. Baciewicz, Jr, MDa*, Rodger D. MacArthur, MDa, Lawrence R. Crane, MDa

a Department of Cardiothoracic Surgery, Harper University Hospital, Wayne State University, Detroit, Michigan, USA

Accepted for publication February 14, 2003.

* Address reprint requests to Dr Baciewicz, 3990 John R, Suite 2102, Detroit, MI, USA48201
e-mail: fbaciewi{at}dmc.org

A 57-year-old man with human immunodeficiency virus (HIV) infection was evaluated in October 1997 with complaints of weakness of the right lower extremity. A chest computerized axial tomographic scan revealed a type I aortic dissection. He underwent surgical repair including resuspension of the aortic valve and placement of a 32-mm interposition graft between the aortic root and the transverse arch. Postoperatively he required abdominal aorta fenestration and stenting for ischemia of the left lower extremity. Follow-up magnetic resonance imaging 31/2 years postoperatively showed a normal-sized ascending and transverse aorta and the residual dissection in the descending thoracic and abdominal aorta. The thoracic and abdominal aorta diameters have remained stable. Select patients with type I aortic dissection and HIV infection are candidates for surgical repair.






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Copyright © 2003 by The Society of Thoracic Surgeons.