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Cessation of recurrent bleeding from gastrointestinal angiodysplasias after aortic valve replacement

M S Cappell, O Lebwohl

    Annals of Internal Medicine
    |July 1, 1986
    PubMed

    Insights

    Gastrointestinal bleeding from angiodysplasias linked to aortic stenosis stopped after aortic valve replacement in two patients. This suggests valve replacement may treat this bleeding, potentially negating further procedures.

    Area of Science:

    • Cardiology
    • Gastroenterology
    • Vascular Medicine

    Background:

    • Gastrointestinal angiodysplasias are a recognized cause of obscure bleeding.
    • Aortic stenosis is a potential, though less common, associated condition.

    Observation:

    • Two patients with recurrent gastrointestinal bleeding due to angiodysplasias and severe aortic stenosis were studied.
    • Bleeding resolved in both patients following aortic valve replacement.

    Findings:

    • Aortic valve replacement effectively ceased gastrointestinal bleeding in these cases.
    • Endoscopic evaluation confirmed the disappearance of angiodysplasias in one patient post-surgery.

    Implications:

    • Aortic valve replacement may be a sufficient treatment for gastrointestinal bleeding secondary to angiodysplasias in patients with aortic stenosis.
    • Consideration should be given to delaying elective angiodysplasia treatment until after aortic valve replacement to assess its efficacy.

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