The simultaneous occurrence of renal artery stenosis and an aldosteronoma in a patient with hypertension
| Autor: | Robert A.M. Gifford, KathyLee Santangelo, Harold C. Yang, Joseph Y. Cheung, Brian L. Thiele |
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| Rok vydání: | 1989 |
| Předmět: |
Adenoma
medicine.medical_specialty business.industry Middle Aged medicine.disease Renal artery stenosis Renal Artery Obstruction Hyperaldosteronism Adrenal Cortex Neoplasms Adrenocortical adenoma Surgery Renovascular hypertension Hypertension Malignant Regimen Conn's syndrome Hypertension Renovascular Nephrology medicine Humans Female Enalapril business medicine.drug |
| Zdroj: | American journal of kidney diseases : the official journal of the National Kidney Foundation. 14(6) |
| ISSN: | 0272-6386 |
| Popis: | The simultaneous occurrence of renovascular hypertension and an adrenocortical adenoma is a rare entity. The case of a 64-year-old woman who underwent an aortorenal bypass graft for renovascular hypertension requiring a multidrug antihypertensive regimen is presented. Persistently elevated blood pressures in the postoperative period prompted further workup for other causes of hypertension. Laboratory evaluation showed hyperaldosteronism and hyporeninemia despite enalapril administration. Abdominal computerized tomography (CT) revealed a left adrenal mass which, on surgical removal, was found to be a cortical adenoma. Subsequently, her antihypertensive therapy has been reduced to a single agent. Previous authors have described only four patients with malignant hypertension who had the rare clinical combination of renal artery stenosis and an aldosteronoma. This case reemphasizes the critical need for a thorough search for other surgically correctable lesions in those patients who remain severely hypertensive after the "definitive" operation. |
| Databáze: | OpenAIRE |
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