Severe aortic stenosis: forgotten associations

Abstract

The authors present the case of a 68-year-old man with predominantly right heart failure in the context of severe aortic stenosis associated with pulmonary hypertension. Anemia was diagnosed which, after endoscopic study, was considered to be secondary to angiodysplasia and a diagnosis of Heyde syndrome was made. After valve replacement surgery the patient's heart failure improved and hemoglobin levels stabilized. We present this case to show the need to recognize less common associations of severe aortic stenosis, in order to provide immediate and appropriate treatment.

Keywords: Angiodisplasias; Angiodysplasia; Estenose aórtica grave; Gastrointestinal bleeding; Hemorragia gastrointestinal; Heyde syndrome; Hipertensão pulmonar; Pulmonary hypertension; Severe aortic stenosis; Síndrome de Heyde.