title: [Primary and idiopathic hyperaldosteronism. Course 1 year after operation. Apropos of 28 cases].
abstract: The course of mean arterial pressure was compared in two series concerning 18 primary or tumoral hyperaldosteronism and 8 idiopathic ones. Identification of the nature of the hyperaldosteronism should not yet motivate a decision on principle, surgical in case of tumor, medical in an idiopathic case. In the latter case cooperation and tolerance of medical treatment, severity of hypertension also come into consideration. A positive spirolactone test, a hypertension course of less than six years were in our experience a good indication of successful surgery, as opposed to a normal unilateral renal biopsy. In case of operation, the removal protocol should adapt to the peroperative findings; 80% adrenalectomy is the most common procedure, except in the case of isolated adenoma of more than 10 mm diameter.
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000150:complications; D001706:Biopsy; D005260:Female; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D006973:Hypertension / Q000209:etiology; D007668:Kidney / Q000473:pathology; D008297:Male; D008875:Middle Aged; D013148:Spironolactone
chemical_list: D013148:Spironolactone
vernacular_title: Hyperaldostéronisme primaire et idiopathique. Etude de l'évolution un an après l'intervention. A propos de 28 observations