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

Jason Salsamendi, Francisco J. Gortes, Alejandro R Ayala, Juan D. Palacios, Sanjit Tewari, Govindarajan Narayanan

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)87-91
Number of pages5
JournalRadiology Case Reports
Volume12
Issue number1
DOIs
StatePublished - Mar 1 2017

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Hypokalemia
Hypertension
Hyperaldosteronism
Potassium
Stroke
Myocardial Infarction
Blood Pressure
Therapeutics

Keywords

  • Adrenal nodule
  • Alcohol
  • Aldosteronoma
  • Embolization
  • Transarterial

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Transarterial embolization of a hyperfunctioning aldosteronoma in a patient with bilateral adrenal nodules. / Salsamendi, Jason; Gortes, Francisco J.; Ayala, Alejandro R; Palacios, Juan D.; Tewari, Sanjit; Narayanan, Govindarajan.

In: Radiology Case Reports, Vol. 12, No. 1, 01.03.2017, p. 87-91.

Research output: Contribution to journalArticle

Salsamendi, Jason ; Gortes, Francisco J. ; Ayala, Alejandro R ; Palacios, Juan D. ; Tewari, Sanjit ; Narayanan, Govindarajan. / Transarterial embolization of a hyperfunctioning aldosteronoma in a patient with bilateral adrenal nodules. In: Radiology Case Reports. 2017 ; Vol. 12, No. 1. pp. 87-91.
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