Summary
doi: 10.25005/2074-0581-2014-16-1-47-52
Diagnosis and surgical treatment of Conn’s syndrome
1Chair of surgical diseases №2
2Endocrinology Avicenna TSMU
3SI «Republican Scientific Center of Cardiovascular Surgery»
The results of diagnostic, surgical and medical examination of 18 patients with Conn’s syndrome are analyzed in article.
Classical clinical triad (hypertensive, neuromuscular and dysuric syndromes) was revealed in 66,6% of patients, while 33,4% of them for a long time Conn’s syndrome occurs in mono-symptomaticform, i.e. only in varying severity of hypertension.
Integrated preoperative preparation with potassium-sparing diuretics, antihypertensive drugs and verospiron authors are recommended only for patients with AH stage III power and profound changes in target organs (heart and kidney).
Minimally invasive accesses should use extensively when removing aldosteromas. In the early and late postoperative lethal outcomes are not registered, the hypotensive effect was achieved in 88,9% of patients.
Keywords: aldosterone produced adenoma, primary aldosteronism, hypertension.
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