Abstract
The primary aldosteronism is a frequent cause of secondary hypertension and its diagnosis should be considered in all patients with moderate to severe hypertension where low potassium level was found. Cardiovascular complications occurre more often in these patients in comparison those with the essential hypertension.
The authors present a case of an annulo-aortic ectasia and the small dorsal wall chronic aortic roof dissection in 56-years old man with the primary aldosteronism and severe hypertension. The patient underwent successful cardiosurgery.
The aortic roof remodelling and aortic valve plasty was performed. Nevertheless, the ascending aorta impairment in patients with primary aldosteronism is a rare complication.
The case should notice on possibility of this frequent form of secondary hypertension and encourage us to increase our effort in the active search for the patients with the primary aldosteronism. That should be our regular contribution to the reduction of the incidence of the late cardiovascular complications through appropriate treatment strategy.