Cardiac Surgery in HIV Patients: State of the Art

Bobby Yanagawa, Subodh Verma, Girish Dwivedi, Marc Ruel

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

The clinical status of HIV infection has changed dramatically with the introduction of combined antiretroviral therapy. Patients with HIV are now living long enough to be susceptible to chronic illnesses, such as coronary disease and nonischemic cardiomyopathy, which can be consequences of the combined antiretroviral therapy treatment itself. Cardiovascular diseases are a major source of morbidity and mortality in HIV-positive patients. Increasingly, such patients might be candidates for the full range of cardiac surgical interventions, including coronary bypass, valve surgery, and heart transplantation. There has been a shift from offering palliative procedures such as pericardial window and balloon valvuloplasty, to more conventional and durable surgical therapies in HIV-positive patients. We herein provide an overview of the contemporary outcomes of cardiac surgery in this complex and unique patient population. We review some of the ethical issues around the selection and surgical care of HIV-positive patients. We also discuss strategies to best protect the surgical treatment team from the risks of HIV transmission. Finally, we highlight the need for involvement of dedicated infectious disease professionals in a multidisciplinary heart team approach, aiming at the comprehensive care of these unique and complex patients.

Original languageEnglish
Pages (from-to)320-325
Number of pages6
JournalCanadian Journal of Cardiology
Volume35
Issue number3
DOIs
Publication statusPublished - 1 Mar 2019

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Thoracic Surgery
HIV
Balloon Valvuloplasty
Therapeutics
Heart Transplantation
Cardiomyopathies
Ethics
HIV Infections
Communicable Diseases
Coronary Disease
Chronic Disease
Cardiovascular Diseases
Morbidity
Mortality
Population

Cite this

Yanagawa, Bobby ; Verma, Subodh ; Dwivedi, Girish ; Ruel, Marc. / Cardiac Surgery in HIV Patients : State of the Art. In: Canadian Journal of Cardiology. 2019 ; Vol. 35, No. 3. pp. 320-325.
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Cardiac Surgery in HIV Patients : State of the Art. / Yanagawa, Bobby; Verma, Subodh; Dwivedi, Girish; Ruel, Marc.

In: Canadian Journal of Cardiology, Vol. 35, No. 3, 01.03.2019, p. 320-325.

Research output: Contribution to journalReview article

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