Table 6.
Biochemical testing | Right adrenal vein | Inferior vena cava | Left adrenal vein | Comment |
---|---|---|---|---|
Epinephrine, ng/dL | 2895 | 82 | 1342 | Adrenal vein epinephrine concentrations of at least 100 pg/mL more than concentrations in the inferior vena cava were used to confirm successful adrenal vein cannulation. |
Cortisol, mcg/dL | 53 | 19 | 323 | Adrenal vein sampling was completed following administration of dexamethasone of 0.5 mg every 6 h started 24 h prior. |
Cortisol adrenal vein/ inferior vena cava ratio | 2.8 (53/19) | 17 (323/19) | Ratio > 6.5 confirmed autonomous cortisol secretion from the left adrenal gland. | |
Ratio < 3.3 excludes autonomous cortisol secretion from the right adrenal gland. | ||||
Cortisol left adrenal vein/ right adrenal vein ratio | 6.1 (17/2.8) | Lateralization of cortisol to the left was confirmed by the left to right adrenal vein ratio of >2.3. |