文档介绍:Eur J Vasc Endovasc Surg 20, 235–240 (2000)
doi:.1169, available online at on
Clinical Profile of HIV-related Aneurysms∗
R. Nair†, J. V. Robbs, N. G. Naidoo and J. Woolgar
Metropolitan Vascular Service, Department of Surgery, University of Natal, South Africa
Objectives: to describe the clinical features, management, outcome and laboratory features of human immunodeficiency
virus (HIV)-related aneurysms.
Materials: twenty-eight HIV positive patients with arterial aneurysms treated at a single university teaching hospital
in a 6-year period.
Methods: case review of clinical records and laboratory findings. Specimens from patients surgically treated submitted
for microbiological and histological examination.
Results: ninety-two aneurysms were seen (range 1–10 per patient) in a young patient population (median age 30 years).
Nineteen patients had evidence of advanced HIV infection. Aneurysms were atypically located and most frequently
involved the carotid (24), superficial femoral (21) and popliteal (nine) arteries. Twenty-five of the 31 symptomatic
aneurysms were treated surgically. Surgical intervention comprised arterial reconstruction for 19 and aneurysm resection
and ligation for the remainder. Hist