Étienne Fasolt Richard Corvin Meinert, Arlene Körner, Willem Hendrik Te Gussinklo, Alexander Brobeil, Matthias Karck, Bashar Dib
A 36-year-old female patient presented with syncope and retrosternal chest pain. Computed tomography revealed contained rupture of the ascending aorta with no false lumen but an intraluminal thrombus. She underwent emergent open aortic repair. Postoperatively, refractory hypertension was noticeable. Upon further examination of the computed tomographic scan, a large right-sided adrenal mass became evident. Endocrinologic workup ruled out pheochromocytoma and revealed primary aldosteronism. She underwent robotic adrenalectomy, subsequently showed close to normal blood pressure values, and was discharged without further complications. We present here a rare case of contained aortic rupture in the setting of primary aldosteronism.