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Calcific aortic-valve stenosis and angiodysplasia of the colon: Heyde's syndrome--report of two cases.
Thorac Cardiovasc Surg. 1990 Dec; 38(6):374-6.TC

Abstract

Heyde's syndrome is characterized by gastrointestinal bleeding due to angiodysplasias of the gut associated with calcific aortic stenosis. This association does not seem to be a patho-etiological entity but an occasional coincidence in the elderly. Aortic valve replacement (preferably with a bioprothesis) has been postulated to be the treatment of choice for the cure of the bleeding. Two cases of this syndrome are reported on. In one of the cases implantation of a bioprosthesis was accompanied by almost immediate cessation of bleeding, but with reoccurrence after one year necessitating local therapy. In the other case postoperative bleeding following aortic and mitral valve replacement with mechanical prostheses and tricuspid annuloplasty was the reason for coloscopic examination, which showed areas of angiodysplasia in the ascending colon. However, apart from a pause in anticoagulation medication no additional therapy was required since the hemorrhage ceased.

Authors+Show Affiliations

Department of Thoracic and Cardiovascular Surgery, Heinrich-Heine University, Düsseldorf, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

2291237

Citation

Apostolakis, E, et al. "Calcific Aortic-valve Stenosis and Angiodysplasia of the Colon: Heyde's Syndrome--report of Two Cases." The Thoracic and Cardiovascular Surgeon, vol. 38, no. 6, 1990, pp. 374-6.
Apostolakis E, Doering C, Kantartzis M, et al. Calcific aortic-valve stenosis and angiodysplasia of the colon: Heyde's syndrome--report of two cases. Thorac Cardiovasc Surg. 1990;38(6):374-6.
Apostolakis, E., Doering, C., Kantartzis, M., Winter, J., & Schulte, H. D. (1990). Calcific aortic-valve stenosis and angiodysplasia of the colon: Heyde's syndrome--report of two cases. The Thoracic and Cardiovascular Surgeon, 38(6), 374-6.
Apostolakis E, et al. Calcific Aortic-valve Stenosis and Angiodysplasia of the Colon: Heyde's Syndrome--report of Two Cases. Thorac Cardiovasc Surg. 1990;38(6):374-6. PubMed PMID: 2291237.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Calcific aortic-valve stenosis and angiodysplasia of the colon: Heyde's syndrome--report of two cases. AU - Apostolakis,E, AU - Doering,C, AU - Kantartzis,M, AU - Winter,J, AU - Schulte,H D, PY - 1990/12/1/pubmed PY - 1990/12/1/medline PY - 1990/12/1/entrez SP - 374 EP - 6 JF - The Thoracic and cardiovascular surgeon JO - Thorac Cardiovasc Surg VL - 38 IS - 6 N2 - Heyde's syndrome is characterized by gastrointestinal bleeding due to angiodysplasias of the gut associated with calcific aortic stenosis. This association does not seem to be a patho-etiological entity but an occasional coincidence in the elderly. Aortic valve replacement (preferably with a bioprothesis) has been postulated to be the treatment of choice for the cure of the bleeding. Two cases of this syndrome are reported on. In one of the cases implantation of a bioprosthesis was accompanied by almost immediate cessation of bleeding, but with reoccurrence after one year necessitating local therapy. In the other case postoperative bleeding following aortic and mitral valve replacement with mechanical prostheses and tricuspid annuloplasty was the reason for coloscopic examination, which showed areas of angiodysplasia in the ascending colon. However, apart from a pause in anticoagulation medication no additional therapy was required since the hemorrhage ceased. SN - 0171-6425 UR - https://www.unboundmedicine.com/medline/citation/2291237/Calcific_aortic_valve_stenosis_and_angiodysplasia_of_the_colon:_Heyde's_syndrome__report_of_two_cases_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2007-1014055 DB - PRIME DP - Unbound Medicine ER -