Aortic reconstruction in the HIV infected patient

M. B. Silva, G. T. Simonian, A. Gilani, P. J. Pappas, R. W. Hobson

Research output: Contribution to journalArticlepeer-review


Major vascular reconstruction using prosthetic implantation is uncommon in the HIV infected patient. We describe a 52-year-old man with HIV infection and HIV-induced thrombocytopenia, who underwent successful aorto-bifemoral bypass for lower extremity ischemic symptoms. Postoperative progressive thrombocytopenia and subsequent hemorrhage were successfully treated with intravenous steroid replacement, platelet transfusion, α-globulin administration and expectant management. This report serves to illustrate that major vascular reconstruction can be successfully accomplished in the HIV infected population, even in the presence of significant hematologic dysfunction.

Original languageEnglish (US)
Pages (from-to)122-126
Number of pages5
JournalJournal of Medicine
Issue number1-2
StatePublished - 1999
Externally publishedYes


  • Aneurysm
  • Aortic reconstruction
  • Aorto-iliac occlusive disease
  • Human immunodeficiency virus
  • Prosthetic implantation
  • Resection
  • Steroids
  • Thrombocytopenia
  • α- globulin

ASJC Scopus subject areas

  • General Medicine


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