Anestesia e Pesquisa Clínica
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Abstrato

Resistant Hypertension and Rare Variant of Primary Aldosteronism: An Incidental Finding in Pediatric Patient Undergoing Opthalmic Procedure

Balbir Kumar*, Brajesh Kumar Ratre and Alka Yadav

Hypertension is common chronic disease in children with high prevalence and its diagnosis is complicated due to normal blood pressure values vary based on age, and gender. Unlikely in adults, secondary hypertension in children is more common due to various systemic diseases. We report the case of 9-year girl child admitted in the hospital for bilateral frontal sling surgery for congenital ptosis under general anaesthesia. She was diagnosed as small VSD on they echocardiaography which was advised to manage conservatively. Her routine preop. Investigations were normal. She was incidently diagnosed with resistant hypertension while recording her BP intra and postoperatively. On further investigation postoperatively, her hormonal profile (except aldosterone which was high), CECT abdomen and urinary VMA were normal. Child was started with three antihypertensive to control her blood pressure and discharged with probable diagnosis of primary aldosteronism.