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

Arber Jano; Rudin Domi; Leart Berdica; Hektor Sula; Ilir Ohri

doi:doi:10.11648/j.cmr.20140305.14

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

Arber Jano, Rudin Domi, Leart Berdica, Hektor Sula, Ilir Ohri

Published in Clinical Medicine Research (Volume 3, Issue 5)

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.

Published in	Clinical Medicine Research (Volume 3, Issue 5)
DOI	10.11648/j.cmr.20140305.14
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), 2014. Published by Science Publishing Group

Keywords

Adrenal Gland, General Anesthesia, Hypokalemia, Conn Syndrome

References

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[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
[16]	Absolon A, Pledger D, Kong A. Adrenocortical function in critical ill patient 24 h after a single dose or etomidate. Anaesthesia 1999; 54:861-7

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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://article.sciencepublishinggroup.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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TY  - JOUR
T1  - Anesthetic Considerations of Conn Syndrome: A Case Presentation and Mini-Review the Anesthesiologist and Conn Syndrome
AU  - Arber Jano
AU  - Rudin Domi
AU  - Leart Berdica
AU  - Hektor Sula
AU  - Ilir Ohri
Y1  - 2014/09/10
PY  - 2014
N1  - https://doi.org/10.11648/j.cmr.20140305.14
DO  - 10.11648/j.cmr.20140305.14
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 132
EP  - 135
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.20140305.14
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.
VL  - 3
IS  - 5
ER  -

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Author Information

Arber Jano

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

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

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

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

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

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Plain Text BibTeX RIS

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

Copy | Download

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

Copy | Download

@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://article.sciencepublishinggroup.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}
}

Copy | Download

TY  - JOUR
T1  - Anesthetic Considerations of Conn Syndrome: A Case Presentation and Mini-Review the Anesthesiologist and Conn Syndrome
AU  - Arber Jano
AU  - Rudin Domi
AU  - Leart Berdica
AU  - Hektor Sula
AU  - Ilir Ohri
Y1  - 2014/09/10
PY  - 2014
N1  - https://doi.org/10.11648/j.cmr.20140305.14
DO  - 10.11648/j.cmr.20140305.14
T2  - Clinical Medicine Research
JF  - Clinical Medicine Research
JO  - Clinical Medicine Research
SP  - 132
EP  - 135
PB  - Science Publishing Group
SN  - 2326-9057
UR  - https://doi.org/10.11648/j.cmr.20140305.14
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.
VL  - 3
IS  - 5
ER  -

Copy | Download