Transarterial embolization of a hyperfunctioning aldosteronoma in a patient with bilateral adrenal nodules

Abstract Primary hyperaldosteronism often results in resistant hypertension and hypokalemia, which may lead to cardiovascular and cerebrovascular complications. Although surgery is first line treatment for unilateral functioning aldosteronomas, minimally invasive therapies may be first line for cert...

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Bibliographic Details
Published in:Radiology case reports 2017-03, Vol.12 (1), p.87-91
Main Authors: Salsamendi, Jason T., MD, Gortes, Francisco J., BS, Ayala, Alejandro R., MD, Palacios, Juan D., MD, Tewari, Sanjit, MD, Narayanan, Govindarajan, MD
Format: Article
Language:English
Subjects:
Adrenal nodule
Alcohol
Aldosteronoma
Case Report
Embolization
Radiology
Transarterial
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Summary:Abstract Primary hyperaldosteronism often results in resistant hypertension and hypokalemia, which may lead to cardiovascular and cerebrovascular complications. Although surgery is first line treatment for unilateral functioning aldosteronomas, minimally invasive therapies may be first line for certain patients such as those who cannot tolerate surgery. We present a case of transarterial embolization (TAE) of an aldosteronoma. The patient presented with a cerebrovascular accident, and subsequently developed uncontrolled hypertension, hypokalemia, and a myocardial infarction. Following TAE, potassium returned to normal levels and blood pressure control was improved. There were no postoperative complications. TAE thus may be a safe and effective alternative to surgery.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2016.10.013