title: Coccidioidal pericarditis: implications of surgical treatment in the elderly.
abstract: Coccidioidal pericarditis, an uncommonly diagnosed entity, may evolve to a constrictive process. Constrictive coccidioidal pericarditis requires pericardiectomy and antifungal therapy. In the elderly, pericardiectomy may be complicated by coagulopathy and septic shock. Despite potential toxicity, use of antifungal therapy early postoperatively offers the best chance for survival.
authors.affiliation: Division of Cardiovascular and Thoracic Surgery, Mayo Clinic, Scottsdale, Arizona 85024, USA.
authors.forename: Antonio L
authors.initials: AL
authors.lastname: Visbal
authors.forename: Patrick A
authors.initials: PA
authors.lastname: DeValeria
authors.forename: Janis E
authors.initials: JE
authors.lastname: Blair
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Zarka
authors.forename: Louis A
authors.initials: LA
authors.lastname: Lanza
mesh_terms: D000368:Aged; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D003047:Coccidioidomycosis / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D008297:Male; D010492:Pericardiectomy; D010493:Pericarditis / Q000601:surgery*
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B