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Ann Thorac Surg 1987;44:554-555
© 1987 The Society of Thoracic Surgeons

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Articles

Heyde's Syndrome: Failure of a Mechanical Prosthesis and the Possibility of a Coagulation Defect

From the Division of Cardiothoracic Surgery, Department of Surgery, Medical College of Ohio, Toledo, OH

Accepted for publication March 23, 1987.

^* Address reprint requests to Dr. Baciewicz, Department of Surgery, Medical College of Ohio, CS. 10008, Toledo, OH 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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