A Case of Aortic Dissection Ocurring in a Hypertensive Patient.
10.4070/kcj.1997.27.1.113
- Author:
Chong Wook PARK
;
Hyun Chul KWAK
;
Hae Jin YOO
;
Soon Hee PARK
;
Dong Jun WON
;
Jeong Sik PARK
;
Gun Pil CHOI
;
Hyo Jin LEE
;
Soon Gil KIM
- Publication Type:Case Report
- Keywords:
Aortic dissection;
Primary aldosteronism;
Hypertension
- MeSH:
Adenoma;
Adrenalectomy;
Autopsy;
Blood Pressure;
Enalapril;
Female;
Humans;
Hyperaldosteronism;
Hypertension;
Middle Aged;
Nitroprusside;
Propranolol;
Spironolactone
- From:Korean Circulation Journal
1997;27(1):113-119
- CountryRepublic of Korea
- Language:Korean
-
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.
