Coccidioidal pericarditis: implications of surgical treatment in the elderly.
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.
Visbal
Antonio L
AL
Division of Cardiovascular and Thoracic Surgery, Mayo Clinic, Scottsdale, Arizona 85024, USA.
DeValeria
Patrick A
PA
Blair
Janis E
JE
Zarka
Matthew A
MA
Lanza
Louis A
LA
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*
D000935:Antifungal Agents; D000666:Amphotericin B