title: Unusual Gastrointestinal Bleeding After Sutureless Aortic Valve Replacement: A Word of Caution.
abstract: We report the clinical case of a male patient who presented, after an aortic valve replacement with a rapid deployment bioprosthesis, a Heyde-like syndrome, secondary to a moderate aortic paravalvular leakage. All the digestive and hematologic investigations confirmed the diagnosis. A redo surgery to fill the paravalvular gap was accomplished and the postoperative course was uneventful, with a normalization of the biological parameters. To our knowledge, this is the first described case of such a complication with the new generation of sutureless bioprosthesis.
authors.affiliation: Federation of Heart, Thorax and Vessels, Amiens University Hospital, Amiens, France.
authors.forename: Jules
authors.initials: J
authors.lastname: Iquille
authors.affiliation: Federation of Heart, Thorax and Vessels, Amiens University Hospital, Amiens, France. Electronic address: nader.joseph@chu-amiens.fr.
authors.forename: Joseph
authors.initials: J
authors.lastname: Nader
authors.affiliation: Department of Cardiology, Saint Quentin Hospital, Saint Quentin, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Colpart
authors.affiliation: Federation of Heart, Thorax and Vessels, Amiens University Hospital, Amiens, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Caus
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000601:surgery*; D001705:Bioprosthesis; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D013536:Suture Techniques