Unusual Gastrointestinal Bleeding After Sutureless Aortic Valve Replacement: A Word of Caution

Ann Thorac Surg. 2017 Mar;103(3):e225-e226. doi: 10.1016/j.athoracsur.2016.08.073.

Abstract

We report the clinical case of a male patient who presented, after an aortic valve replacement with a rapid deployment bioprosthesis, a Heyde-like syndrome, secondary to a moderate aortic paravalvular leakage. All the digestive and hematologic investigations confirmed the diagnosis. A redo surgery to fill the paravalvular gap was accomplished and the postoperative course was uneventful, with a normalization of the biological parameters. To our knowledge, this is the first described case of such a complication with the new generation of sutureless bioprosthesis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Valve Stenosis / surgery*
  • Bioprosthesis*
  • Gastrointestinal Hemorrhage / etiology*
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Male
  • Postoperative Complications / etiology*
  • Suture Techniques*