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HIV/AIDS Heart Disease

Off-pump coronary artery bypass surgery feasible, effective during HIV infection

Published in AIDS Weekly, August 18th, 2003

Off-pump coronary artery bypass surgery is feasible and effective for HIV-infected patients.

According to a study from the United States, "a 48-year-old male patient with AIDS presented with postinfarct unstable angina, decreased left ventricular function (EF 35%, significant left main coronary artery disease, and total occlusion of the proximal left anterior descending and right coronary arteries)."

"In order to avoid the potential immunosuppressive effect of cardiopulmonary bypass (CPB) in an already compromised host with an already low CD4+ helper/inducer T cell count (180/microL) and high retroviral load (165,000 copies/mL), the application of...

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