Sindrome infiammatoria post-impianto di endoprotesi aortica toracica associata ad adenoma surrenalico Inflammatory syndrome after thoracic aortic endoprothesis implantation associated with cortico-surrenal adenoma

Inflammatory syndrome after thoracic aortic endoprothesis implantation associated with cortico-surrenal adenoma. F. Giallauria, A. De Lorenzo, A. Manakos, F. Pilerci, M. Psaroudaki, A. De Cristofaro, R. Lucci, D. Del Forno, C. Vigorito. We report a case of a 68-year-old patient, admitted with diagnosis of aneurysm of the descending thoracic aor- ta to the Department of Cardiac Surgery, where he under- went percutaneous endovascular application of 4 endopros- theses in the descending thoracic aorta. After antibiotic prophylaxis and hemodynamic stabilization, the patient was admitted to the Cardiac Rehabilitation Unit for the management of the of postoperative course and undergo a program of cardiac rehabilitation. Five days following ad- mission and before starting physical training, the patient developed fever associated with neutrophil leukocytosis, strong activation of inflammatory markers and sideropenic anaemia, compatible with post-implantation inflammatory syndrome. Significant hypokaliemia also occurred. Further investigations showed left cortical-surrenal adenoma. The inflammatory state relapsed spontaneously and the patient was discharged with indication to undergo an endocrino- logic consultation.