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Ann Thorac Surg 2004;78:1084-1085
© 2004 The Society of Thoracic Surgeons

Case report

AIDS-related cardiac tamponade: Is surgical drainage justified?

Theodosios J. Dosios, MDa, Nikolaos P. Theakos, MDb,*, Dimitrios C. Angouras, MDb, Olga I. Katsarou, MDc, Panayiotis J. Asimacopoulos, MDb,d

a Athens University Medical School, Athens, Greece
b Henry Dunant Hospital, Athens, Greece
c Second Regional Blood Transfusion and Hemophilia Center, Laikon Hospital, Athens, Greece
d Baylor College of Medicine, Houston, Texas, USA

Accepted for publication June 23, 2003.

* Address reprint requests to Dr Theakos, Kosma Etolou 3, Marousi, 15125, Athens, Greece
ntheakos{at}hotmail.com

In order to evaluate the usefulness of surgical drainage in the treatment of patients with acquired immunodeficiency syndrome (AIDS)–related cardiac tamponade, we reviewed our experience with subxiphoid pericardiostomy on 5 consequent such patients. One patient died in the immediate postoperative period and the remaining 4 died within 21 weeks after the operation. Similar results have been reported by other authors who found that surgical drainage has no diagnostic or therapeutic benefit over pericardiocentesis in this particular group of patients. Based on our limited experience and the data of the literature, we feel that surgical drainage cannot be justified as the primary method of treatment of AIDS-related cardiac tamponade.




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[Abstract] [Full Text] [PDF]


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