HIV-Positive Patient With Non-Percutaneous Coronary Intervention (PCI)-Amenable Left Coronary Artery Aneurysms Presenting With ST-Elevation Myocardial Infarction (STEMI)

Human immunodeficiency virus (HIV) was first reported in the early 1980s and a once untreatable and fatal disease has since allowed individuals to live healthy lives with the advent of novel antiviral medications. While the life expectancy of an HIV-positive individual has dramatically increased, a myriad of HIV-related complications such as pneumocystis pneumonia, candidiasis, renal disease, anxiety/depression, and cardiovascular disease have dramatically decreased. However, these patients are still prone to complex medical problems. In this case report, we aim to highlight a rare, complicated case of an HIV-positive patient with coronary artery aneurysms complicated by an ST-elevation myocardial infarction (STEMI).

[1]  OUP accepted manuscript , 2022, Journal of Surgical Case Reports.

[2]  R. Gonçalves,et al.  Human Immunodeficiency Virus Associated Large Artery Disease , 2019, Aortic Aneurysm and Aortic Dissection.

[3]  Anna Marcinkiewicz,et al.  Progression of coronary artery disease in a HIV-infected patient previously treated for ascending aorta aneurysm , 2017, Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery.

[4]  Richard D Moore,et al.  Increased Risk of Myocardial Infarction in HIV-Infected Individuals in North America Compared With the General Population , 2017, Journal of acquired immune deficiency syndromes.

[5]  Timothy C. Petersen,et al.  Multiple coronary aneurysms in a young adult with acquired immunodeficiency syndrome , 2016, Oxford medical case reports.

[6]  Kayla R. Stover,et al.  Epidemiology and Management of Antiretroviral-Associated Cardiovascular Disease , 2015, The open AIDS journal.

[7]  P. Ramdial,et al.  HIV-associated large-vessel vasculopathy: a review of the current and emerging clinicopathological spectrum in vascular surgical practice , 2015, Cardiovascular journal of Africa.

[8]  Mark W. Sheldon,et al.  Coronary artery aneurysms in acute coronary syndrome: case series, review, and proposed management strategy. , 2014, The Journal of invasive cardiology.

[9]  D. Hsi,et al.  Acute coronary thrombosis and multiple coronary aneurysms in a 22-year-old man with the human immunodeficiency virus. , 2014, Texas Heart Institute journal.

[10]  D. Costagliola,et al.  Acute coronary syndrome in human immunodeficiency virus-infected patients: characteristics and 1 year prognosis. , 2011, European heart journal.

[11]  Hang Lee,et al.  Increased acute myocardial infarction rates and cardiovascular risk factors among patients with human immunodeficiency virus disease. , 2007, The Journal of clinical endocrinology and metabolism.

[12]  S. Staszewski,et al.  Incidence of myocardial infarctions in HIV-infected patients between 1983 and 1998: the Frankfurt HIV-cohort study. , 2000, European journal of medical research.