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首页> 外文期刊>Heart and Lung: The Journal of Critical Care >Aortic stenosis and angiodysplastic gastrointestinal bleeding: Heyde's disease
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Aortic stenosis and angiodysplastic gastrointestinal bleeding: Heyde's disease

机译:主动脉瓣狭窄和angiodysplastic消化道出血:Heyde病

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摘要

Obscure gastrointestinal (GI) bleeding can be a perplexing and difficult problem in elderly patients, especially if they are hemodynamically unstable. If aortic stenosis is also present, the cause of the GI bleeding may be explained. We present a 66-year-old man with a medical history of coronary artery disease who presented with acute GI bleeding. During his hospital course, the patient had a colonoscopy showing diffuse angiodysplasia and an echocardiogram showing severe aortic stenosis. This combination of angiodysplasia and aortic stenosis is known as Heyde's syndrome. It has been hypothesized that the aortic stenosis causes an acquired von Willebrand factor deficiency that leads to GI bleeding. Aortic valve replacement, when possible, can prevent recurrent GI bleeding in these cases, but medical decisions in these cases are complex and difficult.
机译:出血可以是一个模糊的胃肠道(GI)在老年复杂和困难的问题病人,特别是血液流动不稳定的。胃肠道出血的原因可能是解释说。提出一个66岁的老人病史冠状动脉疾病的出现急性胃肠道出血。病人结肠镜检查显示扩散血管畸形,超声心动图显示严重的主动脉瓣狭窄。血管畸形并称为主动脉瓣狭窄Heyde综合征。主动脉瓣狭窄导致收购了冯血友病因子的缺乏导致胃肠道出血。可能的,可以预防复发性胃肠道出血这些情况下,但在这些情况下医疗决定是复杂和困难。

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