Korean Circ J.  1997 Jan;27(1):113-119. 10.4070/kcj.1997.27.1.113.

A Case of Aortic Dissection Ocurring in a Hypertensive Patient

Abstract

Primary aldosteronism is present in approximately 1% of unselectd hypertensive patients. Adrenal adenoma is a known as one of the surgically curable form of the hypertension. Hypertension is one of the contributing factors for the development of aortic dissection. Cincurrence of aortic dissection in patient with primary aldosteronism is extemely rare. Only one case wasconfirmed by autopsy and reported in the world literature. We report a case of DeBakey type 3 anortic aneursm in a 49-year old hypertensive female patient with primary aldosteronism due to left adrenal adenoma. She underwent left adrenalectomy uneventfully after stabilization of her blood pressure with maximal medical management including nitroprusside, aldactone, enalapril and inderal.

Keyword

Aortic dissection; Primary aldosteronism; Hypertension

MeSH Terms

Adenoma
Adrenalectomy
Autopsy
Blood Pressure
Enalapril
Female
Humans
Hyperaldosteronism
Hypertension
Middle Aged
Nitroprusside
Propranolol
Spironolactone
Enalapril
Nitroprusside
Propranolol
Spironolactone
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