Gastrointestinal bleeding associated to aortic valve stenosis (Heyde's syndrome): a case series and literature review.
Eur Heart J Case Rep
; 7(8): ytad412, 2023 Aug.
Article
en En
| MEDLINE
| ID: mdl-37650079
ABSTRACT
Background:
The association among aortic valve stenosis, gastrointestinal bleeding, and anaemia due to arteriovenous malformations, known as Heyde's syndrome (HS), is poorly understood and controversial. Recently, acquired Type 2A von Willebrand syndrome (vWS 2A) was shown to be the most likely aetiological mechanism of anaemia. Casesummary:
We report two cases of HS in whom the percutaneous replacement of the aortic valve was resolutive for iron deficiency anaemia.Discussion:
Iron deficiency anaemia and aortic stenosis are a common association in the elderly, so much that frequently; in such cases, the correction of the valvulopathy is often excluded as pre-operative anaemia is associated with higher morbidity and mortality. From this perspective, the correct diagnosis of HS is crucial to guide the decision to correct valvulopathy, as valvular substitution is resolutive for both anaemic disorders and aortic stenosis.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Idioma:
En
Revista:
Eur Heart J Case Rep
Año:
2023
Tipo del documento:
Article
País de afiliación:
Italia