A Rare Case of Aortic Dissection and Primary Hyperaldosteronism

Abstract 

Introduction

Rare case of a 39-year-old presenting with the triad of aortic dissection, hypertension and aldosterone-secreting adrenal tumour.

Report

We discuss his management, in the acute setting and long term.

Discussion

Hyperaldosteronism is increasingly recognised as a secondary cause of hypertension and is associated with higher cardiovascular complication rates than would be expected due to hypertension alone. We discuss management of a young hypertensive patient presenting with acute aortic dissection as implemented at a tertiary referral centre for Vascular Surgery. We consider the possibility that hyperaldosteronism may represent a risk factor for aortic dissection independent of elevated blood pressure.

Keywords: Hyperaldosteronism, Aortic, Dissection, Hypertension