| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1987;44:514-516
© 1987 The Society of Thoracic Surgeons
From the Section of Thoracic and Cardiovascular Surgery and the Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, MN
Accepted for publication April 28, 1987.
* Address reprint requests to Dr. King, Mayo Clinic, 200 First St SW, Rochester, MN 55905
The association of chronic gastrointestinal bleeding and aortic stenosis remains problematical. The cases of 91 patients (age 38 to 80 years) with these disorders who were examined between 1955 and 1975 were reviewed to address this controversy. All patients underwent upper and lower gastrointestinal radiography, small bowel series, and proctoscopy. Other studies were endoscopy in 84 patients, colonoscopy in 61, and visceral angiography in 16. Of the 37 patients who underwent abdominal exploration, 35 (95%) continued to bleed postoperatively, including 8 of 10 patients who had bowel resection for angiodysplasia. Forty patients did not have an abdominal operation, and all have continued to bleed. Sixteen patients (2 of whom had had an abdominal procedure) underwent aortic valve replacement for aortic stenosis. There were 2 intraoperative deaths among these 16 patients. At follow-up, which ranged from 8 to 12 years, only 1 patient who underwent aortic valve replacement had recurrent bleeding secondary to excessive anticoagulation. Thus, overall, gastrointestinal operation was successful in only 5% of patients, but aortic valve replacement was effective in 93%. For unexplained gastrointestinal bleeding associated with aortic stenosis, aortic valve replacement should be considered because of the likelihood of cure.
This article has been cited by other articles:
|
|
 |
|
  M. W. Massyn and S. A. Khan Heyde syndrome: a common diagnosis in older patients with severe aortic stenosis Age Ageing, May 1, 2009; 38(3): 267 - 270. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. K. Mishra, J. Kovac, J. de Caestecker, G. Fancourt, E. Logtens, and T. Spyt Intestinal angiodysplasia and aortic valve stenosis: let's not close the book on this association Eur J Cardiothorac Surg, April 1, 2009; 35(4): 628 - 634. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Yoshida, S. Tobe, and M. Kawata Acquired von Willebrand Disease Type IIA in Patients with Aortic Valve Stenosis Ann. Thorac. Surg., March 1, 2006; 81(3): 1114 - 1116. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Yoshida, S. Tobe, M. Kawata, and M. Yamaguchi Acquired and Reversible von Willebrand Disease With High Shear Stress Aortic Valve Stenosis Ann. Thorac. Surg., February 1, 2006; 81(2): 490 - 494. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Hasan, C. S O'Brien, A. Sanyal, and H. R Dalton Aortic stenosis and gastrointestinal bleeding J R Soc Med, February 1, 2004; 97(2): 81 - 82. [Full Text] [PDF]
|
|
|
|
 |
|
 P. Batur, W. J. Stewart, and J. H. Isaacson Increased Prevalence of Aortic Stenosis in Patients With Arteriovenous Malformations of the Gastrointestinal Tract in Heyde Syndrome Arch Intern Med, August 11, 2003; 163(15): 1821 - 1824. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. I. Pareti, A. Lattuada, C. Bressi, M. Zanobini, A. Sala, A. Steffan, and Z. M. Ruggeri Proteolysis of von Willebrand Factor and Shear Stress-Induced Platelet Aggregation in Patients With Aortic Valve Stenosis Circulation, September 12, 2000; 102(11): 1290 - 1295. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
