The thoracic surgical spectrum of acquired immune deficiency syndrome. NLM AIDSLINE Important note: Information in this article was accurate in 1987. The state of the art may have changed since the publication date.

Click here to return to AIDSLINE main menu
DonateNow
Print this Article


The thoracic surgical spectrum of acquired immune deficiency syndrome.

J Thorac Cardiovasc Surg. 1986 Dec;92(6):977-80. Unique Identifier : AIDSLINE MED/87062648
Miller JI

Abstract: The acquired immune deficiency syndrome has presented a complex and, as yet, unsolvable spectrum of pulmonary disease characterized by bizarre infections, pneumothoraces, respiratory distress, and death. Thirty-eight patients underwent 49 surgical procedures during 42 months. Ages of the patients ranged from 24 to 56 years. Surgical procedures included tracheostomy, closure of air leaks, mediastinoscopy, lobectomy, open lung biopsy, and esophagogastrectomy. Hospital mortality was 10 of 38 (24%); the 1 year survival rate was 13 of 38 (34%). Pulmonary infections included Pneumocystis carinii, cytomegalovirus, Microbacterium avium, toxoplasmosis, candidiasis, and Cryptococcus neoformans. Open lung biopsy and surgical closure of air leaks can be accomplished safely with low morbidity. Tracheostomy and ventilatory support should be avoided at present in the majority of patients with this syndrome, as the mortality has been 100% when that stage of the disease is reached.
Keywords: Acquired Immunodeficiency Syndrome/MORTALITY/*SURGERY Adult Aged Human Male Middle Age Respiratory Tract Diseases/MORTALITY/*SURGERY *Thoracic Surgery/MORTALITY/METHODS JOURNAL ARTICLE

KWDacquiredimmunodeficiencysyndrome/mortality/KWDsurgeryadultagedhumanmalemiddleagerespiratorytractdiseases/mortality/KWDsurgeryKWDthoracicsurgery/mortality/methodsjournalarticle
870330
M8730223

Copyright © 1987 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

AEGiS is a 501(c)3, not-for-profit, tax-exempt, educational corporation. AEGiS is made possible through unrestricted funding from Boehringer Ingelheim, Bridgestone/Firestone Charitable Trust, Bristol-Myers Squibb Company, Elton John AIDS Foundation, Gill Foundation, the National Library of Medicine, Quest Diagnostics, Roche and Trimeris, and donations from users like you. Always watch for outdated information. This article first appeared in 1987. This material is designed to support, not replace, the relationship that exists between you and your doctor.

AEGiS presents published material, reprinted with permission and neither endorses nor opposes any material. All information contained on this website, including information relating to health conditions, products, and treatments, is for informational purposes only. It is often presented in summary or aggregate form. It is not meant to be a substitute for the advice provided by your own physician or other medical professionals. Always discuss treatment options with a doctor who specializes in treating HIV.

Copyright ©1980, 1987. AEGiS. All materials appearing on AEGiS are protected by copyright as a collective work or compilation under U.S. copyright and other laws and are the property of AEGiS, or the party credited as the provider of the content. .