title: Simultaneous surgery for chronic aortic dissection and adrenal adenoma with primary aldosteronism.
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.
authors.affiliation: 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
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Hirai
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Shibata
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Sasaki
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Fujii
authors.forename: Shoji
authors.initials: S
authors.lastname: Kubo
authors.forename: Shigefumi
authors.initials: S
authors.lastname: Suehiro
mesh_terms: 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
chemical_list: D000959:Antihypertensive Agents
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