       Document 0569
 DOCN  M9620569
 TI    An appraisal of thoracic procedures performed in patients with
       HIV-positive serology.
 DT    9602
 AU    Canver CC; Division of Cardiothoracic Surgery, University of Wisconsin;
       School of Medicine, Madison 53792, USA.
 SO    J Cardiovasc Surg (Torino). 1995 Aug;36(4):349-51. Unique Identifier :
       AIDSLINE MED/96069631
 AB    Patients who have contracted the human immunodeficiency virus (HIV)
       often require a diagnostic or therapeutic thoracic procedure. To
       determine the clinical benefits of a noncardiac pulmonary intervention
       in the treatment of HIV-positive individuals, 82 patients with
       HIV-positive serology who underwent a thoracic procedure for illnesses
       related to acquired immunodeficiency syndrome (AIDS) between 1987 and
       1990 were reviewed. Pneumocystis carinii pneumonia was the most common
       opportunistic infection and was the initial manifestation for
       establishing the HIV-positive serology in 54 patients (66%). Fiberoptic
       bronchoscopy was performed in 74 patients (90%), closed tube
       thoracostomy in 9 (11%), thoracentesis in 3 (4%), thoracostomy and lung
       resection in 2 (2.4%), pericardial window in 1 (1.2%), and tracheostomy
       in 1 (1.2%). The operation was useful in 46 patients (56%) and improved
       the clinical short-term outcome of 53 patients (64%). Nonfatal
       complications occurred in only two patients (2.4%). There were no deaths
       directly caused by the thoracic procedure within the first 30 days.
       However, overall 8 patients (10%ZZ) succumbed to infectious
       complications of AIDS. We conclude that thoracic procedures directed
       toward pulmonary opportunistic infections and their complications in
       HIV-positive patients are beneficial and may offer an improved
       short-term outcome.
 DE    Acquired Immunodeficiency Syndrome/COMPLICATIONS  Adult  Biopsy
       *Bronchoscopy  Evaluation Studies  Female  Human  HIV
       Seropositivity/*COMPLICATIONS  Male  Middle Age  Punctures  *Thoracotomy
       *Thorax  Tracheotomy  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

