Aortic Stenosis Complicated by Gastrointestinal Arteriovenous Malformations: It is not Always Heyde Syndrome

Ravi A Thakker; Krishna H Suthar; Kevin Kline; Khaled Chatila; Muhannad Al Hanayneh

doi:10.7759/cureus.8876

Aortic Stenosis Complicated by Gastrointestinal Arteriovenous Malformations: It is not Always Heyde Syndrome

Cureus. 2020 Jun 28;12(6):e8876. doi: 10.7759/cureus.8876.

Authors

Ravi A Thakker¹, Krishna H Suthar¹, Kevin Kline², Khaled Chatila³, Muhannad Al Hanayneh²

Affiliations

¹ Internal Medicine, University of Texas Medical Branch, Galveston, USA.
² Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, USA.
³ Cardiology, University of Texas Medical Branch, Galveston, USA.

Abstract

Aortic stenosis (AS) and arteriovenous malformations (AVM) are a common coexisting pathology in the elderly. When both pathologies are combined, Heyde syndrome is a differential that is widely explored among clinicians. Unfortunately, this may not always be the case. We present a case of an 82-year-old female admitted for acute gastrointestinal (GI) bleeding with a history of AVMs and AS, as well as, an algorithm in diagnosing elderly patients with both pathologies.

Keywords: acquired von willebrand syndrome; aortic stenosis; arteriovenous malformations; heyde syndrome.

Publication types

Case Reports