title: Adrenalectomy and caval thrombectomy in a cat with primary hyperaldosteronism.
abstract: A 13-year-old, castrated male, domestic longhaired cat was diagnosed with primary hyperaldosteronism from an adrenal gland tumor and a thrombus in the caudal vena cava. Clinical signs included cervical ventriflexion, lethargy, weakness, inappetence, and diarrhea. Laboratory tests revealed hypokalemia, normonatremia, hyperglycemia, hypophosphatemia, and elevated creatine kinase activity. Hypokalemia worsened despite oral potassium supplementation. An adrenalectomy and caval thrombectomy were successfully performed utilizing deliberate hypothermia followed by progressive rewarming.
authors.affiliation: Department of Surgical and Radiological Sciences, Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, California 95616, USA.
authors.forename: Scott A
authors.initials: SA
authors.lastname: Rose
authors.forename: Andrew E
authors.initials: AE
authors.lastname: Kyles
authors.forename: Philippe
authors.initials: P
authors.lastname: Labelle
authors.forename: Bruno H
authors.initials: BH
authors.lastname: Pypendop
authors.forename: Jas S
authors.initials: JS
authors.lastname: Mattu
authors.forename: Oded
authors.initials: O
authors.lastname: Foreman
authors.forename: Carlos O
authors.initials: CO
authors.lastname: Rodriguez
authors.forename: Richard W
authors.initials: RW
authors.lastname: Nelson
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000601:surgery / Q000662:veterinary*; D000315:Adrenalectomy / Q000379:methods / Q000662:veterinary*; D000818:Animals; D002371:Cat Diseases / Q000601:surgery*; D002415:Cats; D006929:Hyperaldosteronism / Q000601:surgery / Q000662:veterinary*; D008297:Male; D017131:Thrombectomy / Q000379:methods / Q000662:veterinary*; D016896:Treatment Outcome; D014684:Venae Cavae / Q000601:surgery