[Recurrent gastrointestinal bleeding and aortic valve stenosis (Heyde syndrome): need for valve replacement?].
Angiodysplasia are common in patients over the age of 60. Heyde syndrome describes the coincidence of aortic valve stenosis and gastrointestinal bleeding from angiodysplasia. We describe one characteristic case of aortic valve stenosis and gastrointestinal bleeding from angiodysplasia which subsided after replacement with an aortic valve bioprosthesis. We review the current literature and discuss the actual explanation approaches for this phenomenon.


CONCLUSIONS
There seems to be a clear indication for valve replacement in the case of aortic valve-stenosis and gastrointestinal bleeding due to angiodysplasia.
Henne
S
S
Klinik und Poliklinik für Kardiologie/Angiologie, Universitäres Herzzentrum Hamburg, Martinistrasse 52, 20249 Hamburg. henne@uke.uni-hamburg.de
Denzer
U
U
Seitz
U
U
Göttsche
J
J
Soehendra
N
N
Lohse
A
A
D000368:Aged; D001024:Aortic Valve Stenosis / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000517:prevention & control*; D006350:Heart Valve Prosthesis; D006801:Humans; D055502:Secondary Prevention; D013577:Syndrome; D016896:Treatment Outcome