Endovascular Aneurysm Repair in HIV Patients with Ruptured Abdominal Aneurysm and Low CD4

Table 1

Summary of the baseline clinical data, management, and outcome.

Patient number	Age	Gender	CD4^+ count (cells/µL)	Presentation	Vessel morphology	Comorbidities	H/C	Management	Outcome
1	59	Male	112	Fever + abdominal pain + pulsatile mass	Rupture of fusiform infrarenal AAA	None	No growth	(i) Intravenous ciprofloxacin + clindamycin × 6 weeks; (ii) ENDURANT II AAA endovascular graft bifurcated system (Medtronic, Inc.)	(i) Improved without complications
2	57	Male	147	Fever + abdominal pain + hypotension	Rupture of fusiform left CIA aneurysm	(i) AKI with hyperkalemia	No growth	(i) Intravenous ciprofloxacin + clindamycin × 6 weeks; (ii) ZENITH FLEX endovascular graft iliac leg extension system (Cook Medical, Inc.)	(i) Improved without complications

Both cases were low immunity HIV patients with CD4 < 200 cells/µL; echocardiogram workup: no infective endocarditis or valvular heart disease and no incidence of intracardiac clots or thrombi.
CD4⁺: white blood cell clusters of differentiation 4 (CD4) level; µL: microlitres; H/C: hemoculture; AAA: abdominal aortic aneurysm; CIA: common iliac artery; AKI: acute kidney injury.