4.1 Article

Recurrent Gastrointestinal Bleeding in a Patient With Severe Aortic Valve Stenosis: A Diagnosis of Heyde's Syndrome

Journal

CUREUS JOURNAL OF MEDICAL SCIENCE
Volume 13, Issue 6, Pages -

Publisher

SPRINGERNATURE
DOI: 10.7759/cureus.15442

Keywords

aortic stenosis; intestinal angiodysplasia; gastrointestinal bleeding; arteriovenous malformations; acquired coagulopathy; melena; aquired von willbrand disease

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Heyde's syndrome is defined as the coexistence of AS and GI bleeding from IA, requiring a high clinical suspicion for diagnosis. This case study discusses a 60-year-old male patient with severe AS presenting with recurrent GI bleeding and multiple intestinal angioectasias on endoscopy.
Heyde's syndrome is defined as the coexistence of aortic valve stenosis (AS) and recurrent gastrointestinal (GI) bleeding from intestinal angiodysplasia (IA). Despite the fact that Heyde's syndrome was first described decades ago, the association between AS and IA remains frequently unidentified, and thus, a high clinical suspicion is needed for its diagnosis. Here we present a case of a 60-year-old man with a history of severe AS, who presented with recurrent GI bleeding and was found to have multiple intestinal angioectasias on endoscopy.

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