[复发性胃肠道出血与主动脉瓣狭窄（海德综合征）：是否需要进行瓣膜置换？]
[Recurrent gastrointestinal bleeding and aortic valve stenosis (Heyde syndrome): need for valve replacement?].
作者信息
Henne S, Denzer U, Seitz U, Göttsche J, Soehendra N, Lohse A
机构信息
Klinik und Poliklinik für Kardiologie/Angiologie, Universitäres Herzzentrum Hamburg, Martinistrasse 52, 20249 Hamburg.
出版信息
Z Gastroenterol. 2007 Mar;45(3):245-9. doi: 10.1055/s-2006-927122.
UNLABELLED
Angiodysplasia are common in patients over the age of 60. Heyde syndrome describes the coincidence of aortic valve stenosis and gastrointestinal bleeding from angiodysplasia. We describe one characteristic case of aortic valve stenosis and gastrointestinal bleeding from angiodysplasia which subsided after replacement with an aortic valve bioprosthesis. We review the current literature and discuss the actual explanation approaches for this phenomenon.
CONCLUSION
There seems to be a clear indication for valve replacement in the case of aortic valve-stenosis and gastrointestinal bleeding due to angiodysplasia.
未标注
血管发育异常在60岁以上患者中很常见。海德综合征描述了主动脉瓣狭窄与血管发育异常引起的胃肠道出血同时出现的情况。我们描述了一例因血管发育异常导致主动脉瓣狭窄和胃肠道出血的典型病例，该病例在主动脉瓣生物假体置换后出血停止。我们回顾了当前的文献，并讨论了针对这一现象的实际解释方法。
结论
对于因血管发育异常导致主动脉瓣狭窄和胃肠道出血的病例，瓣膜置换似乎有明确的指征。
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