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Coronary Artery Aneurysms, Aortic Dissection, and Hypertension Secondary to Primary Aldosteronism: A Rare Triad

A Case Report

Division of Cardiovascular Medicine, Department of Medicine, State University of New York . Health Science Center at Brooklyn, New York.

Tak Kwan, MD, FACA

Division of Cardiovascular Medicine, Department of Medicine, State University of New York . Health Science Center at Brooklyn, New York.

Ernest Afflu, MD

Division of Cardiovascular Medicine, Department of Medicine, State University of New York . Health Science Center at Brooklyn, New York.

Mahmood Alam, MD

Division of Cardiovascular Medicine, Department of Medicine, State University of New York . Health Science Center at Brooklyn, New York.

John E. Anderson, MD

Division of Cardiovascular Medicine, Department of Medicine, State University of New York . Health Science Center at Brooklyn, New York.

Luther T. Clark, MD

Division of Cardiovascular Medicine, Department of Medicine, State University of New York . Health Science Center at Brooklyn, New York.

Primary aldosteronism is a relatively uncommon etiology of hypertension. Plasma renin activity is suppressed in the majority of the cases but not always. Plasma renin activity has been associated with increased vascular injury. The occurrence of vascular complications has rarely been reported with low plasma renin activity. The authors report a case of long-standing secondary hypertension due to primary aldosteronism with coronary artery aneurysms and aortic dissection. Diagnosing is important, for therapeutic intervention can be curative.

Angiology, Vol. 50, No. 6, 503-508 (1999)
DOI: 10.1177/000331979905000609


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