Abstract
This chapter provides a broad-based review of common thoracic diseases and their etiologies within the geriatric population. Acute surgical care of these patients can be highly challenging given the variability in pathology, overlap of symptomatic presentations, and life-threatening nature of many of the conditions. Specific topics discussed include airway obstruction, hemoptysis, lung abscess, empyema, pneumothorax, nontraumatic disease of the thoracic aorta, and esophageal pathology.
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References
Dailey RH. Acute upper airway obstruction. Emerg Med Clin North Am. 1983;1(2):261–77.
Aboussouan LS, Stoller JK. Diagnosis and management of upper airway obstruction. Clin Chest Med. 1994;15(1):35–53.
Lloyd DC, Taylor PM. Calcification of the intrathoracic trachea demonstrated by computed tomography. Br J Radiol. 1990;63(745):31–2.
Jo SH, Choi YJ, Cho GY, Kim HS, Jung KS, Rhim CY. Tracheal calcification. CMAJ. 2008;179(3):291.
Swanson KL, Edell ES. Tracheobronchial foreign bodies. Chest Surg Clin N Am. 2001;11(4):861–72.
Rafanan AL, Mehta AC. Adult airway foreign body removal. What’s new? Clin Chest Med. 2001;22(2):319–30.
Jean-Baptiste E. Clinical assessment and management of massive hemoptysis. Crit Care Med. 2000;28(5):1642–7.
Karmy-Jones R, Cuschieri J, Vallieres E. Role of bronchoscopy in massive hemoptysis. Chest Surg Clin N Am. 2001;11(4):873–906.
Lenner R, Schilero GJ, Lesser M. Hemoptysis: diagnosis and management. Compr Ther. 2002;28(1):7–14.
Schiza S, Siafakas NM. Clinical presentation and management of empyema, lung abscess and pleural effusion. Curr Opin Pulm Med. 2006;12(3):205–11.
Wiedemann HP, Rice TW. Lung abscess and empyema. Semin Thorac Cardiovasc Surg. 1995;7(2):119–28.
Mwandumba HC, Beeching NJ. Pyogenic lung infections: factors for predicting clinical outcome of lung abscess and thoracic empyema. Curr Opin Pulm Med. 2000;6(3):234–9.
Hirshberg B, Sklair-Levi M, Nir-Paz R, Ben-Sira L, Krivoruk V, Kramer MR. Factors predicting mortality of patients with lung abscess. Chest. 1999;115(3):746–50.
Christie NA. Management of pleural space: effusions and empyema. Surg Clin North Am. 2010;90(5):919–34.
Mansharamani NG, Koziel H. Chronic lung sepsis: lung abscess, bronchiectasis, and empyema. Curr Opin Pulm Med. 2003;9(3):181–5.
Sahn SA, Heffner JE. Spontaneous pneumothorax. N Engl J Med. 2000;342(12):868–74.
Nakajima J. Surgery for secondary spontaneous pneumothorax. Curr Opin Pulm Med. 2010;16(4):376–80.
Baumann MH, Strange C, Heffner JE, et al. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi Consensus statement. Chest. 2001;119(2):590–602.
Baumann MH, Strange C. Treatment of spontaneous pneumothorax: a more aggressive approach? Chest. 1997;112(3):789–804.
Lansman SL, Saunders PC, Malekan R, Spielvogel D. Acute aortic syndrome. J Thorac Cardiovasc Surg. 2010;140(6 Suppl):S92–7.
Ramanath VS, Oh JK, Sundt 3rd TM, Eagle KA. Acute aortic syndromes and thoracic aortic aneurysm. Mayo Clin Proc. 2009;84(5):465–81.
Golledge J, Eagle KA. Acute aortic dissection. Lancet. 2008;372(9632):55–66.
Moon MR. Approach to the treatment of aortic dissection. Surg Clin North Am. 2009;89(4):869–93.
Griepp RB, Ergin MA, Galla JD, et al. Natural history of descending thoracic and thoracoabdominal aneurysms. Ann Thorac Surg. 1999;67(6):1927–30.
Elefteriades JA. Indications for aortic replacement. J Thorac Cardiovasc Surg. 2010;140(6 Suppl):S5–9.
DeVault KR. Presbyesophagus: a reappraisal. Curr Gastroenterol Rep. 2002;4(3):193–9.
Brady PG. Esophageal foreign bodies. Gastroenterol Clin North Am. 1991;20(4):691–701.
Weissberg D, Refaely Y. Foreign bodies in the esophagus. Ann Thorac Surg. 2007;84(6):1854–7.
Kavic SM, Basson MD. Complications of endoscopy. Am J Surg. 2001;181(4):319–32.
Wu JT, Mattox KL, Wall Jr MJ. Esophageal perforations: new perspectives and treatment paradigms. J Trauma. 2007;63(5):1173–84.
Brinster CJ, Singhal S, Lee L, Marshall MB, Kaiser LR, Kucharczuk JC. Evolving options in the management of esophageal perforation. Ann Thorac Surg. 2004;77(4):1475–83.
Siegel R, Naishadham D, Jemal A. Cancer statistics, 2012. CA Cancer J Clin. 2012;62(1):10–29.
Younes Z, Johnson DA. The spectrum of spontaneous and iatrogenic esophageal injury: perforations, Mallory-Weiss tears, and hematomas. J Clin Gastroenterol. 1999;29(4):306–17.
Altorjay A, Kiss J, Voros A, Sziranyi E. The role of esophagectomy in the management of esophageal perforations. Ann Thorac Surg. 1998;65(5):1433–6.
Richardson JD. Management of esophageal perforations: the value of aggressive surgical treatment. Am J Surg. 2005;190(2):161–5.
D’Cunha J. Esophageal stents for leaks and perforations. Semin Thorac Cardiovasc Surg. 2011;23(2):163–7.
Landreneau RJ, Del Pino M, Santos R. Management of paraesophageal hernias. Surg Clin North Am. 2005;85(3):411–32.
Davis Jr SS. Current controversies in paraesophageal hernia repair. Surg Clin North Am. 2008;88(5):959–78.
Stylopoulos N, Rattner DW. Paraesophageal hernia: when to operate? Adv Surg. 2003;37:213–29.
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Benns, M.V., Richardson, J.D. (2014). Thoracic Diseases in the Elderly. In: Yelon, J., Luchette, F. (eds) Geriatric Trauma and Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8501-8_19
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DOI: https://doi.org/10.1007/978-1-4614-8501-8_19
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