Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Successful Colectomy for the Treatment of Repetitive Bleeding from Colonic Angiodysplasia in a Patient with Heyde Syndrome
Michio OganoYu-ki IwasakiHitoshi TakanoMorimasa TakayamaTeruo TakanoYu Fukuda
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JOURNAL OPEN ACCESS

2006 Volume 45 Issue 6 Pages 355-358

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Abstract

A 64-year-old man with repetitive gastrointestinal bleeding was admitted to our hospital. Colonic artery angiography revealed angiodysplasia as the bleeding site, and echocardiography showed aortic valve stenosis. A decrease in the high molecular weight von Willebrand factor multimers, which are known to play an important role in hemostasis, was observed, and Heyde syndrome was diagnosed. We selected colectomy instead of aortic valve replacement because the patient had undergone two open heart surgeries. Following colectomy, the patient showed a good clinical course without recurrent gastrointestinal bleeding. Colectomy might serve as a therapeutic option for Heyde syndrome after the precise site of angiodysplasia is detected by angiography.

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© 2006 by The Japanese Society of Internal Medicine
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