Barrera OJC, Mederos CON, Castellanos GJA, Aragón CLL, Eguía GC, Cruz CG

Language: Spanish
References: 16
Page: 189-194
PDF size: 214.01 Kb.

ABSTRACT

Pericarditis is the most frequent cardiac complication of AIDS, due to multiple causes. Pericardial involvement may be manifested as acute pericarditis, constrictive pericarditis, symptomatic pericardial effusion and cardiac tamponade. The aim of this report is to present a patient with AIDS and chronic pericarditis who developed cardiac tamponade a few days after the onset of cardiovascular manifestations. Case report: A 40-year-old male diagnosed with AIDS developed an effusion and cardiac tamponade; he was treated with a left anterolateral thoracotomy that revealed hemorrhagic effusion of 1 liter of blood. Anterior pericadiectomy was performed. The histologic diagnosis was chronic fibrinous pericarditis with areas of hemorrhage. The patient recovered uneventfully. As an outpatient, no other cardiovascular complications developed. Conclusions: Patients with HIV who develop effusions and pericarditis should be treated as all other patients, but considering that it may be multifactorial. Treatment choice depends on the clinical presentation, its cause and need for diagnosis, surgical risk, the physician’s and the institution’s experience, the anatomical characteristics of the effusion, and failure of previously attempted therapeutic procedures.

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