大动脉生物假体狭窄导致海德综合征
Ahad Firoz1, Justin Devera2, Matthew Lam3
1Department of Internal Medicine, University of California-Davis Medical Center, Sacramento, California, USA.
JACC. Case reports
|October 23, 2025
概括
海德综合征 (HS),一种将大动脉狭窄和来自动脉静脉形 (AVM) 的胃肠道出血联系在一起的疾病,很少在假体门中出现. 这一案例突出了生物假体HS的诊断挑战和管理.
科学领域:
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
- 血管医学 血管医学
背景情况:
- 海德综合征 (HS) 的特点是大动脉狭窄和由动脉静脉形 (AVM) 引起的胃肠道出血.
- 生物假体HS是一种罕见的变异,它带来了独特的诊断和管理挑战.
研究的目的:
- 描述一个患有生物假肢海德综合征的患者的调查和管理.
- 强调在患有假和复发性贫血的患者中考虑HS的重要性.
主要方法:
- 一个74岁的老人病例报告,患有胸痛,呼吸困难和疲劳的症状.
- 诊断工作显示了严重的生物假体大动脉狭窄,十二指甲状动脉瘤和显著的贫血.
- 治疗包括输血,AVM剪切,并考虑通过导管更换大动脉.
主要成果:
- 这名患者被诊断出患有生物假肢海德综合征.
- 这一案例凸显了识别HS的诊断困难,特别是在最初的内镜评估中出现了负面结果.
结论:
- 假体门患者的复发性贫血需要怀疑HS.
- 囊内镜或推进肠镜可能是必要的小肠评估在怀疑HS.
- 一个正常的·维勒布兰德因子水平并不排除HS.
相关概念视频
Mitral Stenosis I: Introduction
453
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
453
Aortic Regurgitation I: Introduction
472
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
472
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
402
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
402
Aortic Regurgitation III: Medical Management
392
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
392
Mitral Stenosis II: Clinical features and Diagnostic Tests
215
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
215
Mitral Regurgitation I: Introduction
409
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
409


