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
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