Anesthetic Experience of a Patient with Primary Aldosteronism Complicated with Aortic Dissection: A case report.
10.4097/kjae.1997.32.4.677
- Author:
In Joo CHOI
1
;
So Young YOON
;
Won Young CHANG
;
Kyung Bae KIM
Author Information
1. Department of Anesthesiology, Seoul Adventist Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Anesthetic techniques;
general;
epidural;
Arteries;
aorta;
dissection;
Hormone;
aldosterone;
Surgery;
adrenalectomy
- MeSH:
Adenoma;
Adrenal Glands;
Adrenalectomy;
Aldosterone;
Anesthesia, Epidural;
Anesthesia, General;
Aorta;
Arteries;
Female;
Hemodynamics;
Humans;
Hyperaldosteronism*;
Hyperkalemia;
Hyperplasia;
Hypertension;
Middle Aged
- From:Korean Journal of Anesthesiology
1997;32(4):677-680
- CountryRepublic of Korea
- Language:Korean
-
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.
