To the Editor: For unknown reasons, bleeding from gastrointestinalangiodysplasia in patients with severe aortic stenosis (Heyde'ssyndrome1) usually ceases after aortic-valve replacement.2 Wehave proposed that this bleeding disorder may be explained byacquired type IIA von Willebrand's syndrome,3 which is a deficiencyof high-molecular-weight multimers of von Willebrand factorassociated with aortic stenosis. We now report two cases ofHeyde's syndrome in which abnormal von Willebrand factormultimerprofiles normalized after aortic-valve replacement.
Two women, one 65 years old and one 70 years old, underwentaortic-valve replacement for severe aortic stenosis (estimatedvalve area, 0.67 and 0.50 cm2. . . [Full Text of this Article]
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