Diagnosis and results of surgical treatment of arterial hypertension of endocrine-adrenal origin
Gerasimenko, P.P.
Kardiologiia 16(5): 32-38
1976
ISSN/ISBN: 0022-9040 PMID: 950752 Document Number: 105946
Surgery was undertaken in 149 patients with tumours or hyperplasia of the adrenal glands accompanied by high arterial hypertension, not infrequently of a malignant nature. An analysis is presented of some auxiliary methods of clinical diagnosis of pheochromocytomas (69 cases) and aldosteromas (56 cases). Data on the methods of topical diagnosis are presented, among which the authors believe tomography of the adrenals conducted against the background of pneumoretroperitoneum, and selective phlebography of the adrenals to be the best techniques. The immediate results of surgery for this grave form of hypertension are reported. The late results of the hypotensive effect of surgery are analysed in all 149 operated cases, the follow-up period ranging from 2 to 15 years.