Khazi Fayaz Mohammed, Siddiqi Nayyer R, Karaly Yehia Mohamed, Aljassim Obaid, Al-Halees Zohair Y
Cardiothoracic Anaesthesia, Dubai Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
Cardiothoracic Surgery, Dubai Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
J Saudi Heart Assoc. 2020 Dec 14;33(2):95-100. doi: 10.37616/2212-5043.1237. eCollection 2021.
Heyde's syndrome (HS) is described as the association between recurrent bleeding from angiodysplasia of the gastrointestinal tract and aortic stenosis. Aortic valve replacement has been reported to stop the bleeding. In unfit patients, the options available are interventional or conservative management. We hereby report an elderly obese patient with severe comorbidity with complicated HS involving a narrow aortic root. She underwent left ventricular outlet myomectomy and aortic root replacement to promote better forward flow and prevent restenosis and recurrence of symptoms. She was discharged home symptom-free despite being on coumadin anticoagulants.
海德综合征（HS）被描述为胃肠道血管发育异常反复出血与主动脉瓣狭窄之间的关联。据报道，主动脉瓣置换术可止血。对于身体状况不佳的患者，可用的选择是介入治疗或保守治疗。我们在此报告一例老年肥胖患者，患有严重合并症，并发涉及主动脉根部狭窄的HS。她接受了左心室流出道肌瘤切除术和主动脉根部置换术，以促进更好的前向血流，防止再狭窄和症状复发。尽管服用华法林抗凝剂，她仍无症状出院回家。
