PDF(Pubmed)
Abstract：
We present the case of an elderly man with a history of diastolic congestive heart failure, severe aortic stenosis and atrial fibrillation, who presented with fatigue, weakness, coffee ground emesis and black tarry stool. Haemoglobin was 68 g/L. Lactate dehydrogenase was elevated at 1038. Evaluation by cardiology and gastroenterology specialists revealed reflux oesophagitis and a mild hiatal hernia on oesophagogastroduodenoscopy, normal colonoscopy and small bowel series without obstruction. Capsule endoscopy identified angiodysplasia in the small intestine.The patient was diagnosed with Heyde\'s syndrome based on the triad of severe aortic stenosis, gastrointestinal bleeding from angiodysplasia and acquired von Willebrand syndrome. The patient underwent transcatheter aortic valve replacement, resulting in the resolution of symptoms.Heyde\'s syndrome represents a challenging clinical entity requiring a multidisciplinary approach for accurate diagnosis and management. Early recognition, prompt intervention and interdisciplinary collaboration are crucial in optimising patient outcomes.
摘要：
我们介绍了一个有舒张性充血性心力衰竭病史的老年人的案例，严重的主动脉瓣狭窄和心房颤动，表现出疲劳的人，弱点,咖啡地面呕吐和黑色柏油凳。血红蛋白为68g/L乳酸脱氢酶在1038升高。心脏病学和胃肠病学专家的评估显示，食管胃十二指肠镜检查显示反流性食管炎和轻度食管裂孔疝，结肠镜检查正常，小肠系列无梗阻。胶囊内镜检查发现小肠血管发育不良。根据严重主动脉瓣狭窄的三联征，患者被诊断为Heyde综合征，血管增生引起的消化道出血和获得性血管性血友病综合征。患者接受了经导管主动脉瓣置换术，导致症状的解决。Heyde综合征代表了一个具有挑战性的临床实体，需要多学科方法来进行准确的诊断和管理。早期识别,及时干预和跨学科合作对于优化患者预后至关重要.
