Simultaneous surgery for chronic aortic dissection and adrenal adenoma with primary aldosteronism.
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.
Hirai
Hidekazu
H
Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan. hide-hirai@msic.med.osaka-cu.ac.jp
Shibata
Toshihiko
T
Sasaki
Yasuyuki
Y
Fujii
Hiromichi
H
Kubo
Shoji
S
Suehiro
Shigefumi
S
D000236:Adenoma / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D000315:Adrenalectomy; D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D000959:Antihypertensive Agents / Q000627:therapeutic use; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001794:Blood Pressure; D019917:Blood Vessel Prosthesis Implantation; D002908:Chronic Disease; D006801:Humans; D006929:Hyperaldosteronism / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006973:Hypertension / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D000959:Antihypertensive Agents
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