Figure 2. A male patient, 69 years, with resistent hypertension for 30 years, diagnosed with PA. Hormonal data: aldosterone (A) = 24.4 ng/dL; DRC < 1.6 mU/mL (PRA 0.13); A/DRC ratio = 15.25; A/PRA ratio = 188. (A) Adrenal CT showing a 1.8 cm nodule at right adrenal gland and a 1.2 cm nodule at left adrenal gland. (B) Fluoroscopic imaging from AVS. (C) Analysis of AVS sampling showed lateralization of aldosterone production to the left side. Then, this patient had an adrenal incidentaloma on the right side and an aldosterone-producing adenoma on the left side. The patient underwent left adrenal adrenalectomy and had biochemical cure of PA.
