Heyde's Syndrome - An Enigma

Heyde's syndrome (HS) is described as the association between recurrent bleeding from angiodysplasia of the gastrointestinal tract and aortic stenosis. Aortic valve replacement has been reported to stop the bleeding. In unfit patients, the options available are interventional or conservative management. We hereby report an elderly obese patient with severe comorbidity with complicated HS involving a narrow aortic root. She underwent left ventricular outlet myomectomy and aortic root replacement to promote better forward flow and prevent restenosis and recurrence of symptoms. She was discharged home symptom-free despite being on coumadin anticoagulants.

Automated summary

Heyde's syndrome is characterized by recurrent bleeding from angiodysplasia and aortic stenosis, with aortic valve replacement being an effective treatment. For unfit patients, interventional or conservative management are options. A patient with severe comorbidities and complicated HS underwent surgery and was discharged symptom-free on anticoagulants.