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DOI: 10.1148/rg.261055058
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RadioGraphics 2006;26:213-231
© RSNA, 2006

EDUCATION EXHIBIT

Cardiovascular Complications of Human Immunodeficiency Virus Infection1

Carlos S. Restrepo, MD, Lisa Diethelm, MD, Julio A. Lemos, MD, Enrique Velásquez, MD, Ty A. Ovella, MD, Santiago Martinez, MD, Jorge Carrillo, MD and Diego F. Lemos, MD

1 From the Departments of Radiology (C.S.R., L.D., J.A.L., T.A.O., S.M., D.F.L.) and Cardiology (E.V.), Louisiana State University Health Sciences Center, 1542 Tulane Ave, Room 212, New Orleans, LA 70112; and Universidad Nacional de Colombia, Hospital Santa Clara, Bogotá, Colombia (J.C.). Recipient of a Certificate of Merit award for an education exhibit at the 2004 RSNA Annual Meeting. Received March 21, 2005; revision requested May 2 and received June 3; accepted June 6. All authors have no financial relationships to disclose. Address correspondence to C.S.R. (e-mail: crestr{at}lsuhsc.edu).

The heart and great vessels are not the sites most frequently affected by opportunistic infections and neoplastic processes in patients with acquired immune deficiency syndrome (AIDS). However, cardiovascular complications occur in a significant number of such patients and are the immediate cause of death in some. The spectrum of cardiovascular complications of AIDS that may be depicted at imaging includes dilated cardiomyopathy, pericardial effusion, human immunodeficiency virus–associated pulmonary hypertension, endocarditis, thrombosis, embolism, vasculitis, coronary artery disease, aneurysm, and cardiac involvement in AIDS-related tumors. To aid accurate diagnosis and appropriate treatment planning, radiologists should be familiar with the imaging appearance of each of these complications.

© RSNA, 2006






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