Primary Aldosteronism Associated with a Diagnosis of Aortic Dissection in a Young Patient

Abstract

Primary aldosteronism is a representative disease of secondary hypertension accounting for 5–10% of patients with hypertension. While primary aldosteronism is curable, when the duration of the disease is long, it causes treatment-resistant hypertension and cerebrovascular diseases. We report a case of aortic dissection in a young patient with primary hyperaldosteronism. On admission for acute aortic dissection, it was difficult to control the blood pressure of the patient. After resection of the right adrenal gland, the blood pressure became controllable compared with pre-operation.