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The Annals of Thoracic Surgery, Vol 44, 554-555, Copyright © 1987 by The Society of Thoracic Surgeons

ARTICLES

Heyde's syndrome: failure of a mechanical prosthesis and the possibility of a coagulation defect

FA Baciewicz Jr and JT Davis
Department of Surgery, Medical College of Ohio, Toledo 43699.

Recent data indicate that the gastrointestinal bleeding due to angiodysplasia associated with aortic stenosis (Heyde's syndrome) can be alleviated by aortic valve replacement with a bioprosthesis. This report details a situation in which valve replacement with a mechanical prosthesis and the subsequent anticoagulation promoted gastrointestinal bleeding from angiodysplastic lesions. Only when the mechanical prosthesis was replaced with a porcine prosthesis and the anticoagulation discontinued did the gastrointestinal bleeding stop.

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