同期手术治疗慢性主动脉夹层并肾上腺腺瘤伴原发性醛固酮增多症。

Simultaneous surgery for chronic aortic dissection and adrenal adenoma with primary aldosteronism.

作者信息

Hirai Hidekazu, Shibata Toshihiko, Sasaki Yasuyuki, Fujii Hiromichi, Kubo Shoji, Suehiro Shigefumi

机构信息

Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2010 May;58(5):235-7; discussion 238. doi: 10.1007/s11748-009-0417-1. Epub 2010 May 7.

DOI:10.1007/s11748-009-0417-1

PMID:20449714

Abstract

A 38-year-old man had Stanford type B chronic aortic dissection. Blood pressure was difficult to control, and further examination revealed primary aldosteronism. Magnetic resonance images showed a 1-cm nodule in the left adrenal gland. Graft replacement for aortic dissection under extracorporeal circulation and resection of the left adrenal gland were undertaken simultaneously. The postoperative course was uneventful, and blood pressure was controlled without antihypertensive drugs.

摘要

一名38岁男性患有B型慢性主动脉夹层。血压难以控制，进一步检查发现原发性醛固酮增多症。磁共振成像显示左肾上腺有一个1厘米的结节。在体外循环下进行主动脉夹层移植置换术并同时切除左肾上腺。术后过程顺利，血压无需抗高血压药物即可得到控制。