Abstract
Published data on pericardial disease in the elderly population are scarce. There are microanatomic changes that occur with aging that reduce the elasticity of the pericardial sac, which are presumed to make the elderly more hemodynamically sensitive to the ill effects of pericardial effusion. Certain diseases, such as postpericardiotomy syndrome, Dressler’s syndrome, and neoplasms, are more frequently seen in the elderly patients. Although not historically a disease of the elderly, constrictive pericarditis is becoming just that due to a shift in etiology away from tuberculosis in much of the industrialized world. Optimal management of any pericardial disease in the elderly must take into account frequent and occasionally severe comorbidities, as well as occasionally complex social situations requiring careful hospital discharge planning.
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Kindelan, J., de Hoyos, A. (2011). Surgical Treatment of Pericardial Disease in the Elderly. In: Katlic, M. (eds) Cardiothoracic Surgery in the Elderly. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0892-6_34
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