[Aortic stenosis and intestinal blood loss from angiodysplasia: valve replacement is a therapeutic option]

Ned Tijdschr Geneeskd. 2000 Nov 18;144(47):2237-40.
[Article in Dutch]

Abstract

Three patients, men aged 67, 68 en 61, had for many years suffered from recurrent iron deficient anaemia and were found to have an aortic stenosis. Coloscopy identified angiodysplastic lesions, and we suspected additional lesions in the small intestine. Despite surgical and endoscopic treatment, gastrointestinal bleeding recurred. Replacement of the stenosed aortic valve with a bioprosthesis led to a recovery in the haemoglobin levels of all three patients. Angiodysplasias are a common source of gastrointestinal bleeding with an invisible origin. Data from the literature suggest an association between aortic stenosis and angiodysplasia although epidemiological evidence is lacking.

Publication types

  • Case Reports
  • English Abstract
  • Review

MeSH terms

  • Aged
  • Anemia, Iron-Deficiency / etiology*
  • Anemia, Iron-Deficiency / therapy
  • Angiodysplasia / complications*
  • Angiodysplasia / physiopathology
  • Angiodysplasia / surgery
  • Aortic Valve / physiopathology
  • Aortic Valve / surgery*
  • Aortic Valve Stenosis / complications*
  • Aortic Valve Stenosis / physiopathology
  • Aortic Valve Stenosis / surgery*
  • Bioprosthesis
  • Gastrointestinal Hemorrhage / etiology
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation*
  • Hemoglobins
  • Humans
  • Male
  • Middle Aged
  • Recurrence
  • Treatment Outcome

Substances

  • Hemoglobins