Multifocal, Asymmetric Bilateral Primary Aldosteronism Cannot be Excluded by Strong Adrenal Vein Sampling Lateralization: An International Retrospective Cohort Study.
Adina F TurcuYuta TezukaJung Soo LimZara SalmanKartik SehgalHaiping LiuStéphanie LaroseWasita Warachit ParksookTracy Ann WilliamsDebbie L CohenHeather WachtelJinghong ZhangPranav DorwalFumitoshi SatohJun YangAndré LacroixMartin ReinckeThomas J GiordanoAaron M UdagerAnand VaidyaWilliam E RaineyPublished in: Hypertension (Dallas, Tex. : 1979) (2024)
Multifocal, asymmetrical bilateral PA is relatively common, and it cannot be excluded by robust AVS lateralization. Long-term postoperative monitoring should be routinely pursued, to identify residual PA and afford timely initiation of targeted medical therapy.