Anaesthesia for Conn's syndrome

We describe the peri‐operative management of two patients undergoing bilateral adrenalectomy for Conn's syndrome; one using an open surgical approach and the other a laparoscopic technique. The first patient, aged 64 years, died of a myocardial infarction 5 days postoperatively; the second, age...

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Bibliographic Details
Published in:Anaesthesia 1999-06, Vol.54 (6), p.569-574
Main Authors: Winship, S. M., Winstanley, J. H. R., Hunter, J. M.
Format: Article
Language:English
Subjects:
Abdominal surgery. Urology. Gynecology. Obstetrics
Adrenalectomy - methods
Adult
Anesthesia
Anesthesia depending on type of surgery
Anesthesia, General - methods
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Fatal Outcome
Hormones
primary hyperaldosteronism, Conn's syndrome
Humans
Hyperaldosteronism - surgery
Laparoscopy
Male
Medical sciences
Middle Aged
Pathophysiology
hypertension, hypokalaemia
Perioperative Care - methods
Surgery
laparoscopic adrenalectomy
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Description
Summary:We describe the peri‐operative management of two patients undergoing bilateral adrenalectomy for Conn's syndrome; one using an open surgical approach and the other a laparoscopic technique. The first patient, aged 64 years, died of a myocardial infarction 5 days postoperatively; the second, aged 29 years, had an uneventful recovery. The pre‐operative preparation, peroperative management and postoperative care of these patients are detailed, and the pathophysiology and clinical management of Conn's syndrome are reviewed.
ISSN:0003-2409
1365-2044
DOI:10.1046/j.1365-2044.1999.00710.x