PMID- 30710071
OWN - NLM
STAT- MEDLINE
DCOM- 20190326
LR  - 20200225
IS  - 1941-5923 (Electronic)
IS  - 1941-5923 (Linking)
VI  - 20
DP  - 2019 Feb 2
TI  - A Case of Primary Aldosteronism Due to A Primary Adrenal Adenoma Diagnosed by 
      Segmental Adrenal Venous Sampling (S-AVS) Using a Modified Catheter System and 
      Lateral Cine Angiography.
PG  - 139-145
LID - 10.12659/AJCR.913172 [doi]
AB  - BACKGROUND Before partial adrenalectomy for primary aldosteronism due to a 
      primary adrenal adenoma, the aldosterone-producing tumor can be localized by 
      segmental adrenal vein sampling (S-AVS). Cardiologists, who regularly perform 
      percutaneous coronary intervention (PCI), or coronary angioplasty with stent, may 
      not be familiar with the technique of S-AVS. A case of the use of S-AVS is 
      reported in a patient who presented with primary aldosteronism and a right 
      adrenal adenoma. CASE REPORT A 44-year-old man with a history of hypertension 
      presented with a man in the posterior part of the right adrenal gland. He had 
      hypokalemia, and a high plasma aldosterone concentration/plasma renin activity 
      ratio. A captopril stress test confirmed the diagnosis of primary aldosteronism. 
      Pre-operative S-AVS was performed using a microwire and microcatheter, which were 
      advanced into the segmental adrenal vein using a 6.5 French guiding catheter and 
      a Y-shaped connector, under biplane cine angiography guidance. S-AVS showed a 
      high plasma aldosterone concentration in the right superior tributary adrenal 
      vein draining the adrenal mass. Right partial adrenalectomy was performed. 
      Postoperatively, the patient's blood pressure and plasma aldosterone levels 
      normalized. CONCLUSIONS S-AVS can be performed relatively easily before partial 
      adrenalectomy using a catheter system with biplane cine angiography, which is a 
      technique that is familiar to cardiologists.
FAU - Okamura, Keisuke
AU  - Okamura K
AD  - Department of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, 
      Chikushino, Fukuoka, Japan.
FAU - Okuda, Tetsu
AU  - Okuda T
AD  - Department of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, 
      Chikushino, Fukuoka, Japan.
FAU - Fukuda, Yusuke
AU  - Fukuda Y
AD  - Fukuda Clinic, Fukuoka, Japan.
FAU - Takamiya, Yosuke
AU  - Takamiya Y
AD  - Department of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, 
      Chikushino, Fukuoka, Japan.
FAU - Shirai, Kazuyuki
AU  - Shirai K
AD  - Department of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, 
      Chikushino, Fukuoka, Japan.
FAU - Miyajima, Shigerou
AU  - Miyajima S
AD  - Department of Urology, Fukuoka University Chikushi Hospital, Chikushino, Fukuoka, 
      Japan.
FAU - Ishii, Tatsu
AU  - Ishii T
AD  - Department of Urology, Fukuoka University Chikushi Hospital, Chikushino, Fukuoka, 
      Japan.
FAU - Urata, Hidenori
AU  - Urata H
AD  - Department of Cardiovascular Diseases, Fukuoka University Chikushi Hospital, 
      Chikushino, Fukuoka, Japan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20190202
PL  - United States
TA  - Am J Case Rep
JT  - The American journal of case reports
JID - 101489566
RN  - 4964P6T9RB (Aldosterone)
SB  - IM
MH  - Adrenal Gland Neoplasms/*diagnosis
MH  - Adrenocortical Adenoma/*diagnosis
MH  - Adult
MH  - Aldosterone/blood
MH  - *Angiography
MH  - Blood Specimen Collection/*methods
MH  - *Catheters
MH  - Humans
MH  - Hyperaldosteronism/*etiology
MH  - Male
MH  - Veins/*diagnostic imaging
PMC - PMC6368131
COIS- Conflict of interest: The authors have received honoraria from Otsuka Holdings 
      and grant support for a clinical trial of treatment for resistant hypertension 
      with an ultrasonic renal denervation system Conflict of interest The authors have 
      received honoraria from Otsuka Holdings and grant support for a clinical trial of 
      treatment for resistant hypertension with an ultrasonic renal denervation system.
EDAT- 2019/02/03 06:00
MHDA- 2019/03/27 06:00
PMCR- 2019/02/02
CRDT- 2019/02/03 06:00
PHST- 2019/02/03 06:00 [entrez]
PHST- 2019/02/03 06:00 [pubmed]
PHST- 2019/03/27 06:00 [medline]
PHST- 2019/02/02 00:00 [pmc-release]
AID - 913172 [pii]
AID - 10.12659/AJCR.913172 [doi]
PST - epublish
SO  - Am J Case Rep. 2019 Feb 2;20:139-145. doi: 10.12659/AJCR.913172.