Aortic Valvuloplasty as Bridging for TAVI in High-Risk Patients with Heyde’s Syndrome: A Case Report
There is a frequent association between aortic valve stenosis and gastrointestinal bleeding, also known as Heyde’s syndrome. In these patients, the aortic valve replacement should be recommended as “gold standard.” In high-surgical-risk patients, the Transcatheter Aortic Valve Implantation (TAVI) is...
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2012-01-01
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Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2012/946764 |
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doaj-eb5a5927361e49dd958943797c56f5832020-11-24T23:58:10ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/946764946764Aortic Valvuloplasty as Bridging for TAVI in High-Risk Patients with Heyde’s Syndrome: A Case ReportCosmo Godino0Anna Giulia Pavon1Antonio Mangieri2Alberto Margonato3Department of Cardiology, San Raffaele Hospital, Via Olgettina 60, 20131 Milan, ItalyDepartment of Cardiology, San Raffaele Hospital, Via Olgettina 60, 20131 Milan, ItalyDepartment of Cardiology, San Raffaele Hospital, Via Olgettina 60, 20131 Milan, ItalyDepartment of Cardiology, San Raffaele Hospital, Via Olgettina 60, 20131 Milan, ItalyThere is a frequent association between aortic valve stenosis and gastrointestinal bleeding, also known as Heyde’s syndrome. In these patients, the aortic valve replacement should be recommended as “gold standard.” In high-surgical-risk patients, the Transcatheter Aortic Valve Implantation (TAVI) is an alternative option. However, the risk of bleeding recurrence, related to double antiplatelet therapy started after TAVI, cannot be excluded especially in the first months. We present a case of a patient with a severe aortic valve stenosis and a history of previously documented angiodysplasia and recurrence of gastrointestinal bleeding initially treated only with balloon aortic valvuloplasty that excluded recurrence of bleeding during the subsequent six months of followup. Therefore, a definite transfemoral Edwards XT valve implantation was planned to be performed in case of recurrence of aortic stenosis.http://dx.doi.org/10.1155/2012/946764 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cosmo Godino Anna Giulia Pavon Antonio Mangieri Alberto Margonato |
spellingShingle |
Cosmo Godino Anna Giulia Pavon Antonio Mangieri Alberto Margonato Aortic Valvuloplasty as Bridging for TAVI in High-Risk Patients with Heyde’s Syndrome: A Case Report Case Reports in Medicine |
author_facet |
Cosmo Godino Anna Giulia Pavon Antonio Mangieri Alberto Margonato |
author_sort |
Cosmo Godino |
title |
Aortic Valvuloplasty as Bridging for TAVI in High-Risk Patients with Heyde’s Syndrome: A Case Report |
title_short |
Aortic Valvuloplasty as Bridging for TAVI in High-Risk Patients with Heyde’s Syndrome: A Case Report |
title_full |
Aortic Valvuloplasty as Bridging for TAVI in High-Risk Patients with Heyde’s Syndrome: A Case Report |
title_fullStr |
Aortic Valvuloplasty as Bridging for TAVI in High-Risk Patients with Heyde’s Syndrome: A Case Report |
title_full_unstemmed |
Aortic Valvuloplasty as Bridging for TAVI in High-Risk Patients with Heyde’s Syndrome: A Case Report |
title_sort |
aortic valvuloplasty as bridging for tavi in high-risk patients with heyde’s syndrome: a case report |
publisher |
Hindawi Limited |
series |
Case Reports in Medicine |
issn |
1687-9627 1687-9635 |
publishDate |
2012-01-01 |
description |
There is a frequent association between aortic valve stenosis and gastrointestinal bleeding, also known as Heyde’s syndrome. In these patients, the aortic valve replacement should be recommended as “gold standard.” In high-surgical-risk patients, the Transcatheter Aortic Valve Implantation (TAVI) is an alternative option. However, the risk of bleeding recurrence, related to double antiplatelet therapy started after TAVI, cannot be excluded especially in the first months. We present a case of a patient with a severe aortic valve stenosis and a history of previously documented angiodysplasia and recurrence of gastrointestinal bleeding initially treated only with balloon aortic valvuloplasty that excluded recurrence of bleeding during the subsequent six months of followup. Therefore, a definite transfemoral Edwards XT valve implantation was planned to be performed in case of recurrence of aortic stenosis. |
url |
http://dx.doi.org/10.1155/2012/946764 |
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