Correction of renal artery stenosis followed by unilateral adrenalectomy 8 months later relieved hypertension and resolved biochemical features of primary hyperaldosteronism in a single patient.
Case Report (n=1)
Highlights a rare case of concurrent renal artery stenosis and primary aldosteronism requiring sequential surgical interventions for hypertension management.
An unusual clinical case is described in which renal artery stenosis (RAS) was found to coexist with adrenocortical hyperplasia, resulting in hypertension. 2. Partial relief of the hypertension was achieved by correction of RAS, and then further relief by extirpation of one adrenal gland affected by unilateral hyperplasia, in interventions 8 months apart. 3. Biochemical features typical of primary hyperaldosteronism were observed both before and after RAS repair but were not present after unilateral adrenalectomy. 4. The association of these two lesions could have occurred by chance, through genetic linkage, or by progression from RAS to tertiary aldosteronism.
Stokes et al. (Fri,) conducted a case report in Hypertension with concurrent primary aldosteronism and renal artery stenosis (n=1). Correction of renal artery stenosis and unilateral adrenalectomy was evaluated on Relief of hypertension and resolution of biochemical features of primary hyperaldosteronism. Correction of renal artery stenosis followed by unilateral adrenalectomy 8 months later relieved hypertension and resolved biochemical features of primary hyperaldosteronism in a single patient.
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