Aldosteronoma coexisting with renal artery stenosis in secondary hypertension.
A case of secondary hypertension due to an aldosteronoma coexisting with renal artery stenosis is reported. Tumor resection resulted in an immediate but short-lived clinical relief. Follow-up aortography revealed progressive arterial stenosis and infrarenal aortic occlusion. Differential renal venous renin and renal scintigraphy suggested renovascular hypertension. It is necessary to search for a second curable lesion if hypertension remains uncontrollable after surgical correction of an apparent cause.
Cheung
Y K
YK
Diagnostic Radiology Division, University of Hong Kong, Queen Mary Hospital.
Chan
F L
FL
Lam
K S
KS
D000236:Adenoma / Q000150:complications* / Q000000981:diagnostic imaging; D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D000328:Adult; D001027:Aortography; D006801:Humans; D006929:Hyperaldosteronism / Q000209:etiology*; D006978:Hypertension, Renovascular / Q000209:etiology*; D008297:Male; D012078:Renal Artery Obstruction / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed