title: Transarterial embolization of a hyperfunctioning aldosteronoma in a patient with bilateral adrenal nodules.
abstract: Primary hyperaldosteronism often results in resistant hypertension and hypokalemia, which may lead to cardiovascular and cerebrovascular complications. Although surgery is first line treatment for unilateral functioning aldosteronomas, minimally invasive therapies may be first line for certain patients such as those who cannot tolerate surgery. We present a case of transarterial embolization (TAE) of an aldosteronoma. The patient presented with a cerebrovascular accident, and subsequently developed uncontrolled hypertension, hypokalemia, and a myocardial infarction. Following TAE, potassium returned to normal levels and blood pressure control was improved. There were no postoperative complications. TAE thus may be a safe and effective alternative to surgery.
authors.affiliation: Department of Vascular and Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USA.
authors.forename: Jason T
authors.initials: JT
authors.lastname: Salsamendi
authors.affiliation: Department of Vascular and Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USA.
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Gortes
authors.affiliation: Department of Endocrinology, University of Miami Miller School of Medicine, 1400 NW 10th Ave, Miami, FL 33136, USA.
authors.forename: Alejandro R
authors.initials: AR
authors.lastname: Ayala
authors.affiliation: Department of Endocrinology, University of Miami Miller School of Medicine, 1400 NW 10th Ave, Miami, FL 33136, USA.
authors.forename: Juan D
authors.initials: JD
authors.lastname: Palacios
authors.affiliation: Department of Vascular and Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USA.
authors.forename: Sanjit
authors.initials: S
authors.lastname: Tewari
authors.affiliation: Department of Vascular and Interventional Radiology, University of Miami Miller School of Medicine, 1611 NW 12th Ave, Miami, FL 33136-1005, USA.
authors.forename: Govindarajan
authors.initials: G
authors.lastname: Narayanan
keywords: Adrenal nodule; Alcohol; Aldosteronoma; Embolization; Transarterial