Korean J Anesthesiol.
1997 Apr;32(4):677-680. 10.4097/kjae.1997.32.4.677.
Anesthetic Experience of a Patient with Primary Aldosteronism Complicated with Aortic Dissection: A case report
- Affiliations
-
- 1Department of Anesthesiology, Seoul Adventist Hospital, Seoul, Korea.
- 2Department of General Surgery, Ajou University of School of Medicine, Suwon, Korea.
- KMID: 1934632
- DOI: http://doi.org/10.4097/kjae.1997.32.4.677
Abstract
- Primary aldosteronism is a clinical syndrome characterized by hypertension, hyperkalemia and hyporeninemia due to increased aldosterone production from the adrenal gland. It is caused by adenoma, bilateral hyperplasia or carcinoma. We experienced anesthetic management of a 49-year-old female with adrenal adenoma accompanied by aortic dissection for left adrenalectomy. To avoid undesirable hypertension which may exacerbate the aortic dissection during general anesthesia, we performed adjunctive continuous thoracic epidural anesthesia under careful hemodynamic monitoring. The patient recovered uneventfully without extension of aortic dissection.
