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Ann Thorac Surg 2009;88:e20-e21. doi:10.1016/j.athoracsur.2009.06.093
© 2009 The Society of Thoracic Surgeons
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Natasha Rueth
Rafael Andrade
Jonathan D'Cunha
Michael Maddaus
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Case Reports

Pleuropulmonary Complications of Rheumatoid Arthritis: A Thoracic Surgeon's Challenge

Natasha Rueth, MD, Rafael Andrade, MD, Shawn Groth, MD, Jonathan D'Cunha, MD, PhD, Michael Maddaus, MD*

Department of Surgery, Division of Thoracic and Foregut Surgery, University of Minnesota, Minneapolis, Minnesota

Accepted for publication June 23, 2009.

* Address correspondence to Dr Maddaus, MMC195, 420 Delaware St SE, Minneapolis, MN 55455 (Email: madda001{at}umn.edu).

Approximately 1% of patients with rheumatoid arthritis have chronic lung disease develop, which can lead to complications, including pneumothorax and bronchopleural fistula. Given the inflammatory changes found, along with the immunosuppressant regimen used in management, these complications are often recalcitrant to initial surgical maneuvers. Our goal in reviewing these patients is to demonstrate the escalation of therapeutic interventions that may be needed to ensure successful resolution of this challenging disease process.






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