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AIDS Associated With Severe Cor Pulmonale and Large Pericardial Effusion With Cardiac Tamponade

Pai, Rakesh K. MD; Kedia, Anita MD; Hsu, Pamela Y.F. MD; Osborn, Larry A. MD; Taylor, Robert A. MD

Clinical Cases

Cardiac involvement in patients with advanced HIV/AIDS is common, including pericardial effusion and pulmonary hypertension. Although there is an increased incidence of pericardial effusion in patients with AIDS, most are small and asymptomatic. The presence of a pericardial effusion and/or pulmonary hypertension is associated with shortened survival. We present a case of a 43-year-old man with AIDS and advanced cardiovascular involvement who developed severe cor pulmonale and a large pericardial effusion with cardiac tamponade.

From the Department of Internal Medicine, Division of Cardiology University of New Mexico Health Sciences Center, Albuquerque, New Mexico.

Reprints: Rakesh K. Pai, MD, Department of Internal Medicine, Division of Cardiology, ACC 5, 2211 Lomas Boulevard, NE, Albuquerque, NM 87131. E-mail:

© 2004 Lippincott Williams & Wilkins, Inc.