Abstract
In patients with Primary Hyperaldosteronism (PA) who undergo Adrenal Vein Sampling (AVS), an Aldosterone to Cortisol Lateralization (ACL) ratio of 3 to 4 has been defined as indeterminate and clinical judgement recommended in determining surgical referral. However, minimal guidance is present over what clinical characteristics should be used in making this determination. We present here the clinical outcomes in our institution for patients with ACL between 3-4 over the last 10 years.
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