Q: Which of the following valvular heart disease is associated with angiodysplasia in GI tract

A) Aortic regurgitation
B) Aortic stenosis
C) Mitral regurgitation
D) Mitral stenosis
E) Pulmonic stenosis


Answer:  B

Bleeding from angiodysplasia in aortic stenosis is also known as Heyde's syndrome. Fortunately, with surgical repair (AVR), bleeding usually subsides. The Cause of this association has been questioned many times in literature but remained controversial.





References: 

1. Pate GE, Mulligan A. An epidemiological study of Heyde's syndrome: an association between aortic stenosis and gastrointestinal bleeding. J Heart Valve Dis 2004; 13:713.

2. Cappell MS, Lebwohl O. Cessation of recurrent bleeding from gastrointestinal angiodysplasias after aortic valve replacement. Ann Intern Med 1986; 105:54.