Heyde syndrome
a diagnosis to consider
DOI:
https://doi.org/10.56102/afmo.2023.254Keywords:
Aortic valve stenosis, Angiodysplasia, Transcatheter aortic valve replacement, Type-2 Von Willebrand disease, Von Willebrand factorAbstract
Aortic valve stenosis is a frequent clinical condition, especially in older people. Also, these patients often have anemia.This hematological change may be caused by the Heyde syndrome, which presents anemia, intestinal angiodysplasia, and loss of high molecular-weight multimers of von Willebrand factor, treated by correcting the aortic valve stenosis. In this sense, the Heyde syndrome should be part of the differential diagnosis in patients with anemia and severe aortic valve stenosis.
References
Tiede A. Diagnosis and treatment of acquired von Willebrand syndrome. Thromb Res. 2012;130 Suppl 2:S2-S6. doi:10.1016/S0049-3848(13)70003-3
Federici AB, Budde U, Castaman G, Rand JH, Tiede A. Current diagnostic and therapeutic approaches to patients with acquired von Willebrand syndrome: a 2013 update. Semin Thromb Hemost. 2013;39(2):191-201. doi:10.1055/s-0033-1334867
Callaghan MU, Wong TE, Federici AB. Treatment of acquired von Willebrand syndrome in childhood. Blood. 2013;122(12):2019-2022. doi:10.1182/blood-2012-10-435719
Tiede A, Rand JH, Budde U, Ganser A, Federici AB. How I treat the acquired von Willebrand syndrome. Blood. 2011;117(25):6777-6785. doi:10.1182/blood-2010-11-297580
Nichols WL, Hultin MB, James AH, et al. von Willebrand disease (VWD): evidence-based diagnosis and management guidelines, the National Heart, Lung, and Blood Institute (NHLBI) Expert Panel report (USA). Haemophilia. 2008;14(2):171-232. doi:10.1111/j.1365-2516.2007.01643.x
Sami SS, Al-Araji SA, Ragunath K. Review article: gastrointestinal angiodysplasia - pathogenesis, diagnosis and management. Aliment Pharmacol Ther. 2014;39(1):15-34. doi:10.1111/apt.12527
J. Larry Jameson, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J. Medicina Interna de Harrison - 2 Volumes - 20.ed. McGraw Hill Brasil; 2019.
Hudzik B, Wilczek K, Gasior M. Heyde syndrome: gastrointestinal bleeding and aortic stenosis. CMAJ. 2016;188(2):135-138. doi:10.1503/cmaj.150194
Bhutani MS, Gupta SC, Markert RJ, Barde CJ, Donese R, Gopalswamy N. A prospective controlled evaluation of endoscopic detection of angiodysplasia and its association with aortic valve disease. Gastrointest Endosc. 1995;42(5):398-402. doi:10.1016/s0016-5107(95)70038-2
Gill JC, Wilson AD, Endres-Brooks J, Montgomery RR. Loss of the largest von Willebrand factor multimers from the plasma of patients with congenital cardiac defects. Blood. 1986;67(3):758-761.
Warkentin TE, Moore JC, Morgan DG. Aortic stenosis and bleeding gastrointestinal angiodysplasia: is acquired von Willebrand's disease the link?. Lancet. 1992;340(8810):35-37. doi:10.1016/0140-6736(92)92434-h
Vincentelli A, Susen S, Le Tourneau T, et al. Acquired von Willebrand syndrome in aortic stenosis. N Engl J Med. 2003;349(4):343-349. doi:10.1056/NEJMoa022831
Figuinha FCR, Spina GS, Tarasoutchi F. Síndrome de Heyde: relato de caso e revisão da literatura. Arq Bras Cardiol [Internet]. 2011Mar;96(Arq. Bras. Cardiol., 2011 96(3)):e42–5. Available from: https://doi.org/10.1590/S0066-782X2011000300017
Stewart AK, Glynn MF. Acquired von Willebrand disease associated with free lambda light chain monoclonal gammopathy, normal bleeding time and response to prednisone. Postgrad Med J. 1990;66(777):560-562. doi:10.1136/pgmj.66.777.560
Gupta PK, Kannan M, Chatterjee T, et al. Acquired von Willebrand's disease associated with gastrointestinal angiodysplasia: a case report. Haemophilia. 2006;12(4):452-455. doi:10.1111/j.1365-2516.2006.01301.x
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Dolly Brandão Lages, Fernando Augusto Pacífico, Maria Luiza Curi Paixão, Flavio Roberto Azevedo de Oliveira, Mário Cruz Couto, Michelle Alves de Farias, Eduardo Lins Paixão

This work is licensed under a Creative Commons Attribution 4.0 International License.
Esta licença permite que outros distribuam, remixem, adaptem e desenvolvam seu trabalho, mesmo comercialmente, desde que creditem a revista pela criação original.