African Annals of
Thoracic and Cardiovascular Surgery

OFFICIAL PUBLICATION OF THE AFRICAN ASSOCIATION OF THORACIC AND CARDIO-VASCULAR SURGEONS
  • Abbreviation: Afr. Ann. Thorac. Cardiovasc. Surg.
  • Language: English
  • ISSN: 1994-7461
  • DOI: 10.5897/AATCVS
  • Start Year: 2005
  • Published Articles: 29

Full Length Research Paper

Outcomes of abdominal aortic aneurysm repair in Immunodeficiency Virus (HIV) positive patients

H. KAKRA1, A.HARDY-HENRY2, C. GANDOTRA3, C. HUYNH4, A. OBIRIEZE1, D. TRAN1, E. CORNWELL III1, K. AMANKWAH5
Department of Surgery Howard University and Hospital 2041 Georgia Avenue NW Washington, DC 20060
Email: [email protected]

  • Article Number - 480F64460849
  • Vol.10(2), pp. 87-92, December 2015
  •  Received: 13 September 2015
  •  Published: 31 December 2015

Abstract

Background: HIV-infected patients are at an increased risk for accelerated vascular disease. Abnormal endothelial function and aneurysmal dilation of the large arteries have been described; however, data is lacking on the outcomes of HIV-infected patients undergoing abdominal aortic aneurysm (AAA) repair on a national level. Methods: This study is a retrospective analysis of hospital discharge data using the Nationwide Inpatient Sample Database from 2001 – 2009. HIV-infected patients undergoing abdominal aortic aneurysm repair were  included. Results: From 2001 to 2009, we identified 23 HIV-infected patients who underwent abdominal aortic aneurysm repair, with a mean age of 56 (±12). Of these, 14 (61%) had open repair, while 9 (39%) had endovascular repair; four of the open repair patients presented with ruptured AAA. There were two postoperative deaths after open repair (9% mortality), 1 death from the ruptured AAA open repair group and 1 death from the non-ruptured open repair group. Three cases in the ruptured open group had sepsis, and one patient had both respiratory and graft complications. In the non-ruptured open group, one patient developed sepsis and cardiac complications. There were no mortalities in the endovascular group, although 1 patient developed sepsis and 2 had cardiopulmonary complications. Conclusions: Perioperative outcomes appear to be similar for HIV positive patients who undergo open and endovascular AAA repair compared to HIV negative patients.

Keywords: abdominal aortic aneurysm, repair, HIV