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Anesthetic Considerations of Conn Syndrome: A Case Presentation and Mini-Review the Anesthesiologist and Conn Syndrome

Received: 11 August 2014    Accepted: 25 August 2014    Published: 10 September 2014
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Abstract

Conn syndrome is characterized by increased secretion of aldosterone. Hyperaldosteronism induces sodium and water retention, hypertension, decreased potassium blood level, muscle weakness, and fatigue. The diagnosis is usually confirmed by decreased renin level, increased aldosteron level, hypokalemia, and imagining tools. Perioperative care consists on blood pressure and hypervolemia control, spironolactone administration, and preoperative potassium correction. We present a case scheduled for left adrenalectomy for Conn syndrome, 5 years after the right adrenalectomy was performed. The surgery and postoperative period were uneventful and the patient was discharged in 6-th postoperative day referring to the endocrinologist. A good cooperation between the anesthesiologist, endocrinologist, and surgeon is strongly recommended.

DOI 10.11648/j.cmr.20140305.14
Published in Clinical Medicine Research (Volume 3, Issue 5, September 2014)
Page(s) 132-135
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Adrenal Gland, General Anesthesia, Hypokalemia, Conn Syndrome

References
[1] Williams, Dluhy RG. Disorders of the Adrenal Cortex. In: Fauci A, Braunwald E, Kasper D, Hauser S, Longo D, Jameson J, Loscalzo J, ed. Harrison’s Principles of Internal Medicine. 17th Ed Chapter. McGraw Hill Professional Publishing, 2008:2259-60.
[2] Michael FR, Fleisher LA. Anesthetic Implications of Concurrent Diseases. In: In: Miller RD, ed. Miller’s Anesthesia. 7th ed. Philadelphia: Churchill Livingstone, 2009: 1067-1150
[3] Calhoun DA: Aldosteronism and hypertension. Clin J Am Soc Nephrol 2006;1:1039-1045,
[4] Wheeler MH, Harris DA. Diagnosis and management of primary aldosteronism. World J Surg.2003; 27(6):627-31
[5] Mattsson C, Young WF Jr. Primary aldosteronism: diagnostic and treatment strategies. Nat Clin Pract Nephrol. 2006; 2(4):198-208
[6] Quinkler M, Reincke M. Modern pharmacological aspects of hyperaldosteronism therapy. Internist (Berlin). 2006; 47(9):953-959
[7] Funder JW. Aldosterone, salt and cardiac fibrosis. Clinical and Experimental Hypertension 1997; 19: 885–99
[8] Zannad F. Aldosterone and heart failure. European Heart Journal 1995; 16: 98–102.
[9] Winship SM, Winstanley JHR, Hunter JM. Anaesthesia for Conn’s syndrome. Anaesthesia, 1999; 54:569-573
[10] Domi R, Sula H. Pheochromocytoma, the challenge to anesthesiologist. J Endocrinol Metab 2011; 1(3):97-100
[11] Gockel I, Heintz A, Kentner R, Wetner C, Junginger Th: Changing pattern of the intraoperative blood pressure during endoscopic adrenalectomy in patients with Conn's syndrome. Surg Endosc. 2005; 19(11):1491-7
[12] Lertakyamanee N, Somprakit P, Buranakijaroen P. Anesthesia and laparoscopic adrenalectomy for primary aldosteronism. J Med Assoc Thai. 2001; 84(6):798-803
[13] Edwin B, Raeder I, Trondsen E, Kaaresen R, Buanes T: Outpatient Laparoscopic Adrenalectomy in patients with Conn’s Syndrome. Surg Endosc. 2001; 15 (6):589-91
[14] Domi R. Cushing’ surgery: Role of the anesthesiologist. Indian J Endocr Metab 2011; 15:322-8
[15] Shaikh S, Verna H, Yadav N, Jauhari M, Bullangowda J. Application of steroid in clinical practice: a review. ISRN Anesthesiology, Volume 2012, Art ID 985495
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Author Information
  • Department of Anesthesia and Intensive Care, “Mother Teresa” University Hospital Center, Tirana, Albania

  • Department of Anesthesia and Intensive Care, “Mother Teresa” University Hospital Center, Tirana, Albania

  • Department of Morphopathology, “Mother Teresa” University Hospital Center, Tirana, Albania

  • Department of Anesthesia and Intensive Care, “Mother Teresa” University Hospital Center, Tirana, Albania

  • Department of Anesthesia and Intensive Care, “Mother Teresa” University Hospital Center, Tirana, Albania

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  • APA Style

    Arber Jano, Rudin Domi, Leart Berdica, Hektor Sula, Ilir Ohri. (2014). Anesthetic Considerations of Conn Syndrome: A Case Presentation and Mini-Review the Anesthesiologist and Conn Syndrome. Clinical Medicine Research, 3(5), 132-135. https://doi.org/10.11648/j.cmr.20140305.14

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    ACS Style

    Arber Jano; Rudin Domi; Leart Berdica; Hektor Sula; Ilir Ohri. Anesthetic Considerations of Conn Syndrome: A Case Presentation and Mini-Review the Anesthesiologist and Conn Syndrome. Clin. Med. Res. 2014, 3(5), 132-135. doi: 10.11648/j.cmr.20140305.14

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    AMA Style

    Arber Jano, Rudin Domi, Leart Berdica, Hektor Sula, Ilir Ohri. Anesthetic Considerations of Conn Syndrome: A Case Presentation and Mini-Review the Anesthesiologist and Conn Syndrome. Clin Med Res. 2014;3(5):132-135. doi: 10.11648/j.cmr.20140305.14

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  • @article{10.11648/j.cmr.20140305.14,
      author = {Arber Jano and Rudin Domi and Leart Berdica and Hektor Sula and Ilir Ohri},
      title = {Anesthetic Considerations of Conn Syndrome: A Case Presentation and Mini-Review the Anesthesiologist and Conn Syndrome},
      journal = {Clinical Medicine Research},
      volume = {3},
      number = {5},
      pages = {132-135},
      doi = {10.11648/j.cmr.20140305.14},
      url = {https://doi.org/10.11648/j.cmr.20140305.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.cmr.20140305.14},
      abstract = {Conn syndrome is characterized by increased secretion of aldosterone. Hyperaldosteronism induces sodium and water retention, hypertension, decreased potassium blood level, muscle weakness, and fatigue. The diagnosis is usually confirmed by decreased renin level, increased aldosteron level, hypokalemia, and imagining tools. Perioperative care consists on blood pressure and hypervolemia control, spironolactone administration, and preoperative potassium correction. We present a case scheduled for left adrenalectomy for Conn syndrome, 5 years after the right adrenalectomy was performed. The surgery and postoperative period were uneventful and the patient was discharged in 6-th postoperative day referring to the endocrinologist. A good cooperation between the anesthesiologist, endocrinologist, and surgeon is strongly recommended.},
     year = {2014}
    }
    

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    AU  - Rudin Domi
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    AB  - Conn syndrome is characterized by increased secretion of aldosterone. Hyperaldosteronism induces sodium and water retention, hypertension, decreased potassium blood level, muscle weakness, and fatigue. The diagnosis is usually confirmed by decreased renin level, increased aldosteron level, hypokalemia, and imagining tools. Perioperative care consists on blood pressure and hypervolemia control, spironolactone administration, and preoperative potassium correction. We present a case scheduled for left adrenalectomy for Conn syndrome, 5 years after the right adrenalectomy was performed. The surgery and postoperative period were uneventful and the patient was discharged in 6-th postoperative day referring to the endocrinologist. A good cooperation between the anesthesiologist, endocrinologist, and surgeon is strongly recommended.
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