Acquired von Willebrand Syndrome and Chronic Anaemia: A Different Diagnostic Approach
KeywordsHeyde’s syndrome, hypertrophic obstructive cardiomyopathy, acquired von Willebrand syndrome, angiodysplasia, anemia
Heyde’s syndrome is a form of acquired von Willebrand syndrome that consists of bleeding from intestinal angiodysplasia in the presence of aortic stenosis (AS). An association with obstructive hypertrophic cardiomyopathy, rather than AS, by a similar mechanism has also been described. We report the case of a 78-year-old woman with chronic anaemia and hypertrophic obstructive cardiomyopathy in whom intestinal angiodysplasia with active bleeding was identified by an unconventional method. In this case, the authors describe a different approach to reach the correct diagnosis.
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