Vaz Alexandra, Correia Andreia, Martins Borges, Capelo Joana, Ferreira Pedro, Henriques Pedro, Santos Oliveira
Serviço de Medicina I, Hospital S. Teotónio, Viseu, Portugal.
Rev Port Cardiol. 2010 Feb;29(2):309-14.
Aortic valve stenosis can be complicated by gastrointestinal bleeding from angiodysplasia. A deficiency of high molecular weight multimers of von Willebrand factor (vWF) (type 2A von Willebrand disease) provides the link between this association, which is known as Heyde syndrome. Aortic valve replacement corrects the vWF abnormalities with long-term resolution of gastrointestinal bleeding. The authors present a case report and a review of this association.
主动脉瓣狭窄可并发血管发育异常引起的胃肠道出血。血管性血友病因子(vWF)高分子量多聚体缺乏(2A型血管性血友病)是这种关联(即所谓的海德综合征)之间的联系。主动脉瓣置换可纠正vWF异常,长期解决胃肠道出血问题。作者报告了一例病例并对这种关联进行了综述。