Gastrointestinal bleeding and aortic stenosis: Heyde's syndrome

Abstract Text An 80-year-old man presented to the Emergency Department of our Hospital with rectal bleeding and anemia. The patient had a history of atrial fibrillation being treated with DOAC and severe aortic stenosis. The patient underwent upper and lower endoscopy and small-bowel capsule endoscopy; small angiodysplasias were found in the cecum and in the ileum with no active bleeding. We suspected Heyde's syndrome and referred the patient to the Cardiac Surgery Department; transcatheter aortic valve implantation was performed and the patient has experienced no further episodes of gastrointestinal bleeding or anemia. [1] [2] [3]

Publication History

Article published online:
15 April 2024

• References

• 1 Heyde EC.. Gastrointestinal bleeding in aortic stenosis (Letter). N Engl J Med 1958; vol. 259: 196
• 2 Warkentin TE, Moore JC, Morgan DG. Aortic stenosis and bleeding gastrointestinal angiodysplasia: is acquired von Willebrand's disease the link?. Lancet 1992; 340: 35-37
• 3 Pate GE, Chandavimol M, Naiman SC, Webb JG.. Heyde's syndrome: a review. J Heart Valve Dis 2004; vol. 13: 701-12