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Cirujano general
versión impresa ISSN 1405-0099
Resumen
BARRERA ORTEGA, Juan Carlos et al. Chronic pericarditis and cardiac tamponade in an HIV/AIDS-positive patient. Cir. gen [online]. 2018, vol.40, n.3, pp.189-194. ISSN 1405-0099.
Pericarditis is the most frequent cardiac complication in AIDS due to multiple causes; this pericardial involvement can manifest as acute pericarditis, constrictive pericarditis, symptomatic pericardial effusion, and cardiac tamponade. Our objective is to report a patient with AIDS and chronic pericarditis with a cardiac tamponade a few days after the onset of cardiovascular manifestations.
Case report:
Forty-year-old male diagnosed with AIDS who presented an effusion with cardiac tamponade; he was treated by means of a left anterolateral thoracotomy; a hemorrhagic effusion was found, with a liter of blood; an anterior pericardiectomy was performed. The histological diagnosis was chronic fibrinous pericarditis with hemorrhagic areas. The evolution was satisfactory. In the outpatient clinic, there were no other cardiovascular complications.
Conclusions:
HIV-positive patients with effusions and pericarditis should be treated the same as other patients, bearing in mind that the cause may be multifactorial. The choice of method depends on the clinical form, the cause and need for diagnosis, the surgical risk, the experience of the doctor and the institution, the anatomical characteristics of the effusion and the failure of previous therapeutic procedures.
Palabras llave : Effusion; cardiac tamponade; pericardiocentesis.
