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Primary Hyperaldosteronism and Related HypertensionSurgical Management
LARRY C. CAREY, M.D.;
EDWIN H. ELLISON, M.D.
AMA Arch Surg. 1961;82(6):888-903.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The recognition by Conn1 in 1955 that certain adenomas of the adrenal cortex secrete excessive amounts of aldosterone associated not only with electrolyte disturbances and altered renal function but also with a severe and formerly fatal hypertension has given a new emphasis to the importance of endocrinopathies to physicians and surgeons alike. The syndrome of primary hyperaldosteronism is not rare; on the contrary, Conn2 states that he has knowledge of approximately 150 such cases. Not all of these cases have been reported, and of these that have, the vast majority appear in the nonsurgical literature. This seems regrettable since the definitive treatment of this disease is surgical. We have reviewed 27 cases reported in adequate detail to allow study from a surgical point of view and have added 3 from our own experience of the last year, numbers 4-23 (Table 1).
Report of Cases
CASE 1.
—A 39-year-old
. . . [Full Text PDF of this Article]
Author Affiliations
MILWAUKEE
From the Division of Surgery, Marquette University School of Medicine, and the Department of Surgery, Milwaukee County Hospital.
Footnotes
Supported in part by National Institute of Health Grant No. A-4150.
This paper was read at the 68th Annual Meeting of the Western Surgical Association, Detroit, Dec. 1, 1960.
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