Heyde Syndrome Treated by Conventional Aortic Valve Replacement.

Autor: Garcia LR; Universidade Estadual Paulista Faculdade de Medicina de Botucatu Hospital das Clínicas Botucatu SP Brazil Serviço de Cirurgia Cardiovascular, Hospital das Clínicas da Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil., Garzesi AM; Universidade Estadual Paulista Faculdade de Medicina de Botucatu Hospital das Clínicas Botucatu SP Brazil Serviço de Cirurgia Cardiovascular, Hospital das Clínicas da Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil., Tripoli G; Universidade Estadual Paulista Faculdade de Medicina de Botucatu Hospital das Clínicas Botucatu SP Brazil Serviço de Cirurgia Cardiovascular, Hospital das Clínicas da Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil., Campos NLKL; Universidade Estadual Paulista Faculdade de Medicina de Botucatu Hospital das Clínicas Botucatu SP Brazil Serviço de Cirurgia Cardiovascular, Hospital das Clínicas da Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil., Martins AS; Universidade Estadual Paulista Faculdade de Medicina de Botucatu Hospital das Clínicas Botucatu SP Brazil Serviço de Cirurgia Cardiovascular, Hospital das Clínicas da Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil., Felicio ML; Universidade Estadual Paulista Faculdade de Medicina de Botucatu Hospital das Clínicas Botucatu SP Brazil Serviço de Cirurgia Cardiovascular, Hospital das Clínicas da Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil.
Jazyk: angličtina
Zdroj: Brazilian journal of cardiovascular surgery [Braz J Cardiovasc Surg] 2019 Dec 01; Vol. 34 (5), pp. 630-632. Date of Electronic Publication: 2019 Dec 01.
DOI: 10.21470/1678-9741-2019-0004
Abstrakt: Heyde syndrome manifests as aortic stenosis associated with gastrointestinal bleeding. We describe the case of a 64-year-old man who came to the emergency room due to acute heart failure and intermittent gastrointestinal bleeding. Treatment involves initial correction of anemia and heart failure followed by aortic valve replacement. The prosthesis used depends on the characteristics of each patient and valve replacement allows the resolution of bleeding in most cases. Gastrointestinal bleeding in patients with aortic stenosis is associated with severity of the valve obstruction. A mechanical prosthesis was used with no recurrent bleeding even with the need for lifelong anticoagulation therapy.
Databáze: MEDLINE