Primary aldosteronism and coronary-pulmonary artery fistula: coincidence or causal link? A case report and literature review

Background: Primary aldosteronism (PA) is the most frequent form of potentially reversible hypertension and coronary-pulmonary fistulas are increasingly recognized during routine coronary angiography or multidetector computed tomography for analysis chest pain in hypertensive patients. Aldosterone hypersecretion has been associated with endothelial proliferation pathological remodeling heart arteries, though artery have never reported patients PA. Case presentation: The authors report first case PA dilated cardiomyopathy unusually electrocardiographic changes after normalization hypokalemia finding a fistula angiography. clinical presentation our diagnosis treatment decision-making COVID-19 era discussed below. Conclusions: Our suggests potential link between