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Aldosteronoma coexisting with renal artery stenosis in secondary hypertension
Y K Cheung1, F L Chan, K S Lam
1Diagnostic Radiology Division, University of Hong Kong, Queen Mary Hospital.
Abstract:
A case of secondary hypertension due to an aldosteronoma coexisting with renal artery stenosis is reported. Tumor resection resulted in an immediate but short-lived clinical relief. Follow-up aortography revealed progressive arterial stenosis and infrarenal aortic occlusion. Differential renal venous renin and renal scintigraphy suggested renovascular hypertension. It is necessary to search for a second curable lesion if hypertension remains uncontrollable after surgical correction of an apparent cause.