You Can’t Heyde Forever

Heyde’s syndrome describes an association between aortic stenosis and a predisposition to bleeding from intestinal angiodysplasia resulting from acquired von Willebrand disease. We present the case of an 82-year-old woman with recurrent intestinal bleeding, severe anaemia and secondary myocardial...

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Main Authors: Pedro Pires, Inês Costa, Alexandra Raposo
Format: Article
Language:English
Published: SMC MEDIA SRL 2018-07-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/896
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spelling doaj-432b6b72807640e888e4c36e0d06e5ba2020-11-25T01:07:59ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942018-07-0110.12890/2018_000896896You Can’t Heyde ForeverPedro Pires0Inês Costa1Alexandra Raposo2Internal Medicine Service 1.2, Hospital de São José, Centro Hospitalar Lisboa Central, E.P.E – Lisboa, PortugalInternal Medicine Service 1.2, Hospital de São José, Centro Hospitalar Lisboa Central, E.P.E – Lisboa, PortugalInternal Medicine Service 1.2, Hospital de São José, Centro Hospitalar Lisboa Central, E.P.E – Lisboa, PortugalHeyde’s syndrome describes an association between aortic stenosis and a predisposition to bleeding from intestinal angiodysplasia resulting from acquired von Willebrand disease. We present the case of an 82-year-old woman with recurrent intestinal bleeding, severe anaemia and secondary myocardial infarction. Investigation identified ileal angiectasia as the source of haemorrhage. As echocardiography revealed severe aortic stenosis the patient underwent surgical valve replacement. At her 3-month follow-up, the patient reported no new bleeding episodes and her functional status had improved. This case highlights Heyde’s syndrome, an entity probably underdiagnosed despite the high prevalence of aortic stenosis and intestinal angiodysplasia in elderly patients.https://www.ejcrim.com/index.php/EJCRIM/article/view/896Aortic stenosisintestinal angiodysplasiaHeyde’s syndromeacquired von Willebrand disease
collection DOAJ
language English
format Article
sources DOAJ
author Pedro Pires
Inês Costa
Alexandra Raposo
spellingShingle Pedro Pires
Inês Costa
Alexandra Raposo
You Can’t Heyde Forever
European Journal of Case Reports in Internal Medicine
Aortic stenosis
intestinal angiodysplasia
Heyde’s syndrome
acquired von Willebrand disease
author_facet Pedro Pires
Inês Costa
Alexandra Raposo
author_sort Pedro Pires
title You Can’t Heyde Forever
title_short You Can’t Heyde Forever
title_full You Can’t Heyde Forever
title_fullStr You Can’t Heyde Forever
title_full_unstemmed You Can’t Heyde Forever
title_sort you can’t heyde forever
publisher SMC MEDIA SRL
series European Journal of Case Reports in Internal Medicine
issn 2284-2594
publishDate 2018-07-01
description Heyde’s syndrome describes an association between aortic stenosis and a predisposition to bleeding from intestinal angiodysplasia resulting from acquired von Willebrand disease. We present the case of an 82-year-old woman with recurrent intestinal bleeding, severe anaemia and secondary myocardial infarction. Investigation identified ileal angiectasia as the source of haemorrhage. As echocardiography revealed severe aortic stenosis the patient underwent surgical valve replacement. At her 3-month follow-up, the patient reported no new bleeding episodes and her functional status had improved. This case highlights Heyde’s syndrome, an entity probably underdiagnosed despite the high prevalence of aortic stenosis and intestinal angiodysplasia in elderly patients.
topic Aortic stenosis
intestinal angiodysplasia
Heyde’s syndrome
acquired von Willebrand disease
url https://www.ejcrim.com/index.php/EJCRIM/article/view/896
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