However, the question came up, is HIV infection an absolute contra-indication to LVRS?
Wednesday, July 26, 2006
LVRS contra-indication
This question came up recently on this patient's follow-up. This is a relatively young man with HIV/AIDS who has done remarkably well on HAART (he had PCP 8 years ago!). He has the typical bullous emphysema associated with HIV and his previous smoking history. His emphysema is predominantly upper lobe (see below with a nice azygous "lobe"), he is hyperinflated and has air trapping. His FEV1 is still greater than 45% so LVRS is not for him yet anyway.
However, the question came up, is HIV infection an absolute contra-indication to LVRS?
However, the question came up, is HIV infection an absolute contra-indication to LVRS?
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I could not find anything regarding HIV being a contraindication for LVRS. It is of course an absolute contraindication for transplant due to the immunosuppressive regimen. Since LVRS does not require post-op immunosuppressives, I would expect that it would be only a relative contraindication at worse, or no contraindication at best.
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