Heyde Syndrome, A Rare Cause of Digestive Bleeding: About a Case Report and Literature Review

Abstract

Heyde's syndrome is a rare condition that usually affects the elderly population and is responsible for a high mortality rate due to delayed diagnosis. It is characterized by the triad of aortic stenosis (AS), gastrointestinal bleeding due to angiodysplastic lesions and acquired Willebrand factor deficiency, We report the case of a 68-year-old patient who consulted the emergency department for an anemic syndrome secondary to low GI bleeding with severe aortic stenosis on echocardiography. The patient underwent an emergency transfusion of packed red blood cells with a colonoscopy confirming a colonic angiodysplasia lesion. The decision was an aortic valve replacement with a good subsequent evolution. Aortic valve replacement reduces gastrointestinal bleeding in the majority of patients with angiodysplasia, whereas gastrointestinal surgery results in remission only in rare patients.