SYMPATHO-ADRENAL SURGERY IN THE MALIGNANT PHASE OF ESSENTIAL HYPERTENSION
Authors: S T REVELL, F J BORGES, G H YEAGER, J G ARNOLD, R I AHLQUIST
Journal: Annals of Internal Medicine (1954)

Article1 July 1954SYMPATHO-ADRENAL SURGERY IN THE MALIGNANT PHASE OF ESSENTIAL HYPERTENSIONSAMUEL T. R. REVELL JR., M.D., F.A.C.P., FRANCIS J. BORGES, M.D., GEORGE H. YEAGER, M.D., F.A.C.S., JAMES G. ARNOLD JR., M.D., RICHARD I. AHLQUIST JR., M.D.SAMUEL T. R. REVELL JR., M.D., F.A.C.P.Search for more papers by this author, FRANCIS J. BORGES, M.D.Search for more papers by this author, GEORGE H. YEAGER, M.D., F.A.C.S.Search for more papers by this author, JAMES G. ARNOLD JR., M.D.Search for more papers by this author, RICHARD I. AHLQUIST JR., M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-41-1-50 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptDuring the past two and one-half years our group has studied 17 patients in the malignant phase of essential hypertension. Our initial objectives were: (1) to establish rigid criteria for selection of patients in order that comparisons would be valid; (2) to determine if it were possible to reverse the renal insufficiency so common in this disease; (3) to compare the results of adrenalectomy with the combined procedure of adrenalectomy and sympathectomy.Thecriteriaused in the selection of these patients were: a rapidly progressive hypertensive state, papilledema with hemorrhagic exudates, and the absence of any demonstrable primary etiology for...Bibliography1. WagenerKeith HPNM: Diffuse arteriolar disease with hypertension and the associated retinal lesions, Medicine 18: 317, 1939. CrossrefGoogle Scholar2. KeithWagenerBarker NMHPNW: Some different types of essential hypertension; their course and prognosis, Am. J. M. Sc. 197: 332, 1939. CrossrefGoogle Scholar3. PeetIsberg MMEM: The problem of malignant hypertension and its treatment by splanchnic resection, Ann. Int. Med. 28: 755, 1948. LinkGoogle Scholar4. GreenNelsonDoddsSmalley DMJNGARE: Bilateral adrenalectomy in malignant hypertension and diabetes, J. A. M. A. 144: 439, 1950. CrossrefMedlineGoogle Scholar5. ThornHarrisonMerrillCriscitielloFrawleyFinkenstaedt GWJHJPMGTFJT: Clinical studies on bilateral complete adrenalectomy in patients with severe hypertensive vascular disease, Ann. Int. Med. 37: 972, 1952. LinkGoogle Scholar6. JeffersZintelHafkenschielHillsSellersWolferth WAHAJHAGAMCC: Evaluation of adrenal resection and sympathectomy in ninety-nine persons with hypertension, J. A. M. A. 153: 1502, 1953. CrossrefMedlineGoogle Scholar7. WolferthJeffersZintelHafkenschielHills CCWAHAJHAG: Effects of subtotal adrenalectomy alone and combined with sympathectomy upon the blood pressure levels and complications of severe arterial hypertension, Bull. New York Acad. Med. 29: 115, 1953. MedlineGoogle Scholar8. JeffersZintelHafkenschielHillsSellersWolferth WAHAJHAGAMCC: The clinical course, following adrenal resection and sympathectomy, of 82 patients with severe hypertension, Ann. Int. Med. 39: 254, 1953. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication March 16, 1954.Presented in abstract form before the Southern Society for Clinical Research, January 30, 1954, New Orleans, Louisiana.From the Departments of Medicine, Surgery and Neurosurgery, School of Medicine, University of Maryland, Baltimore, Maryland.†Hypertension Foundation Fellow in Medicine.‡Present address: Department of Surgery, University Hospital, San Francisco, California. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFundus Lesions in Malignant HypertensionDie Adrenalektomie 1 July 1954Volume 41, Issue 1Page: 50-69KeywordsAdrenalectomyAdrenocorticotropic hormoneEtiologyHypertensionNeurosurgeryRenal diseasesSurgerySympathectomy ePublished: 1 December 2008 Issue Published: 1 July 1954 PDF downloadLoading ...