Simultaneous surgery for chronic aortic dissection and adrenal adenoma with primary aldosteronism

Gen Thorac Cardiovasc Surg. 2010 May;58(5):235-7; discussion 238. doi: 10.1007/s11748-009-0417-1. Epub 2010 May 7.

Abstract

A 38-year-old man had Stanford type B chronic aortic dissection. Blood pressure was difficult to control, and further examination revealed primary aldosteronism. Magnetic resonance images showed a 1-cm nodule in the left adrenal gland. Graft replacement for aortic dissection under extracorporeal circulation and resection of the left adrenal gland were undertaken simultaneously. The postoperative course was uneventful, and blood pressure was controlled without antihypertensive drugs.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / complications
  • Adenoma / diagnosis
  • Adenoma / physiopathology
  • Adenoma / surgery*
  • Adrenal Gland Neoplasms / complications
  • Adrenal Gland Neoplasms / diagnosis
  • Adrenal Gland Neoplasms / physiopathology
  • Adrenal Gland Neoplasms / surgery*
  • Adrenalectomy*
  • Adult
  • Antihypertensive Agents / therapeutic use
  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / etiology
  • Aortic Aneurysm, Thoracic / physiopathology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / diagnosis
  • Aortic Dissection / etiology
  • Aortic Dissection / physiopathology
  • Aortic Dissection / surgery*
  • Aortography / methods
  • Blood Pressure
  • Blood Vessel Prosthesis Implantation*
  • Chronic Disease
  • Humans
  • Hyperaldosteronism / diagnosis
  • Hyperaldosteronism / etiology
  • Hyperaldosteronism / physiopathology
  • Hyperaldosteronism / surgery*
  • Hypertension / diagnosis
  • Hypertension / etiology
  • Hypertension / physiopathology
  • Hypertension / surgery*
  • Magnetic Resonance Imaging
  • Male
  • Time Factors
  • Tomography, X-Ray Computed

Substances

  • Antihypertensive Agents