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Table 2 Results of adrenal venous sampling

From: Unilateral adrenalectomy for a drug-resistant bilateral primary aldosteronism with heart failure: pathophysiology and surgical indication

Pre-ACTH Loading

 

Aldosterone

(pg/dL)

Cortisol

(nmol/L)

A/C

LAV

6,950

23.3

298.3

RAV

2,130

18.6

114.5

IVC

496

9.3

53.3

LAV: RAV ratio (left/ right)

2.1

1.25

 

Post-ACTH Loading

 

Aldosterone

(pg/dL)

Cortisol

(nmol/L)

A/C

LAV

53,400

1540

34.7

RAV

34,700

1000

34.7

IVC

692

25.9

26.7

LAV: RAV ratio (left/ right)

1.5

1.54

 
  1. Result of adrenal venous sampling. This result indicates aldosterone hypersecretion from bilateral adrenal gland and its secretion large in left. LAV: left adrenal vein, RAV: right adrenal vein, IVC: inferior vena cava, A/C: PAC/Cortisol ratio