Interní Med. 2012; 14(11): 429-431

Uncommon complication of primary aldosteronism

doc.MUDr.Robert Holaj, CSc., MBA¹, MUDr.Branislav Štrauch, Ph.D.¹, MUDr.Jaroslav Hlubocký, Ph.D.², prof.MUDr.Jiří Widimský jr., CSc.¹

¹ 3. interní klinika, klinika endokrinologie a metabolizmu

² Klinika kardiovaskulární chirurgie Všeobecné fakultní nemocnice a 1. lékařské fakulty UK v Praze

The primary aldosteronism is a frequent cause of secondary hypertension and its diagnosis should be considered in all patients with

moderate to severe hypertension where low potassium level was found. Cardiovascular complications occurre more often in these patients

in comparison those with the essential hypertension. The authors present a case of an annulo-aortic ectasia and the small dorsal wall

chronic aortic roof dissection in 56-years old man with the primary aldosteronism and severe hypertension. The patient underwent successful

cardiosurgery. The aortic roof remodelling and aortic valve plasty was performed. Nevertheless, the ascending aorta impairment

in patients with primary aldosteronism is a rare complication. The case should notice on possibility of this frequent form of secondary

hypertension and encourage us to increase our effort in the active search for the patients with the primary aldosteronism. That should be

our regular contribution to the reduction of the incidence of the late cardiovascular complications through appropriate treatment strategy.

Keywords: primary aldosteronism, annulo-aortic ectasia, aortic dissection

Published: December 1, 2012  Show citation