Aldosterone-Producing Adenoma Diagnosed by Selective Adrenal Venous Catheterization.

Lim, Sung Kil; Song, Young Duk; Lee, Hyun Chul; Huh, Kap Bum; Song, Min Kyung; Kim, Hyun Soo; Kim, Kyung Rae; Park, Seok Won; Lee, Yoo Mi; Yoon, Yong Suk; Kwon, Suk Ho; Nam, Jae Hyun; Han, Sul Hye; Lee, Do Yeon

Original Article

Journal of Korean Endocrine Society 1998;13(4):652-658.
Published online January 1, 2001.

Aldosterone-Producing Adenoma Diagnosed by Selective Adrenal Venous Catheterization.

Sung Kil Lim, Young Duk Song, Hyun Chul Lee, Kap Bum Huh, Min Kyung Song, Hyun Soo Kim, Kyung Rae Kim, Seok Won Park, Yoo Mi Lee, Yong Suk Yoon, Suk Ho Kwon, Jae Hyun Nam, Sul Hye Han, Do Yeon Lee

Abstract

Primary aldosteronism, not a common cause of high blood pressure, is a syndrome which results from excessively secreted aldosterone from adrenal gland and it accounts for 0.05-2.2% of unselected hypertension. In this case the lesion was not visualized on routine abdominal computed tomographic scan due to its small size. Therefore the selective adrenal venous catherterization & venous sampling was done. As there is some difficulty of sampling from Rt. adrenal vein, the method of measuring aldosterone vs. cortisol ratio of Lt. adrenal vein and inferior vena cava was used to localize the aldosterone-producing adenoma. Clinical symptoms normalized and laboratory data returned to normal range after the surgical adrenalectomy.

Key Words: Primary aldosteronism, Selective adrenal venous catheterization