GASTRO-INTESTINAL BLEEDING IN AORTIC-STENOSIS

  • 1 January 1979
    • journal article
    • research article
    • Vol. 71  (1) , 30-38
Abstract
Gastrointestinal bleeding in aortic stenosis is an uncommon condition but when present it is often undiagnosed. The usual radiological procedures fail to demonstrate the source of bleeding. Mesenteric angiography will identify the lesion. The lesion is usually a vascular malformation located in the right colon. The angiodysplasia may also occur in other parts of the gastrointestinal tract. Patients (5) with aortic stenosis who had multiple massive hemorrhages of the lower gastrointestinal tract which defied diagnosis by the conventional methods were studied. Mesenteric angiography disclosed the origin of the bleeding. In 4 patients vascular malformations were found in the right colon and 1 in the jejunum. Right hemicolectomy and partial jejunectomy resulted in a cure in all.

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