|
|||||
|
|
Management of primary aldosteronism in patients with adrenal hemorrhage following adrenal vein sampling: A brief review with illustrative cases |
|
| Authors: | Fady Hannah‐Shmouni MD FRCPC Andrew Demidowich MD Beatriz Rizkallah Alves BS Gabriela Dockhorn Paluch MD Dionysiou Margarita MD Charalampos Lysikatos MD Elena Belyavskaya MD Richard Chang MD Constantine A. Stratakis MD DSc |
| Affiliation: | 1. Section on Endocrinology & Genetics (SEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Bethesda, MD, USA;2. Interventional Radiology Section, Diagnostic Radiology Department, Clinical Center, NIH, Bethesda, MD, USA |
| Abstract: | The authors describe the clinical investigation of two cases of primary aldosteronism with adrenal hemorrhage (AH) following adrenal vein sampling. A literature review was conducted regarding the medical management of primary aldosteronism in patients with AH following adrenal vein sampling. Guidelines on the management of primary aldosteronism with AH following adrenal vein sampling are lacking. The two patients were followed with serial imaging to document resolution of AH and treated medically with excellent blood pressure response. Resolution of AH was achieved, but a repeat adrenal vein sampling was deferred given the increased morbidity risk associated with a repeat procedure. |
| Keywords: | adrenal hemorrhage adrenal vein sampling aldosterone primary aldosteronism |