Bleeding angiodysplasia: should we concentrate more on the aortic valve than on the bowel?
A case of bleeding from angiodysplasia in association with aortic stenosis is presented. The particular interest in this patient is that the bleeding ceased immediately after the insertion of a bioprosthetic valve and recurred when the valve restenosed. Furthermore, the bleeding again promptly resolved when the valve was exchanged for a metallic prosthesis despite long-term anticoagulation. The implications of these observations are discussed.
Soran
H
H
Department of Gastroenterology, Withington Hospital, Manchester, UK.
Lewis
M
M
Whorwell
P J
PJ
D000368:Aged; D000369:Aged, 80 and over; D016888:Angiodysplasia / Q000150:complications / Q000628:therapy*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000628:therapy*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male