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Title: Fatal post-operative gastro intestinal hemorrhage because of angio-dysplasia of small intestine in aortic regurgitation.
Authors: Varma, Praveen
Misra, Manoranjan
Radhakrishnan, Vishnupuri Venkatraman
Neelakandhan, Kurur Sankaran
Keywords: Critical Care
Issue Date: 2004
Publisher: Interactive cardiovascular and thoracic surgery
Citation: Interactive cardiovascular and thoracic surgery. 3; 1; 118-20
Abstract: Gastrointestinal bleeding due to angiodysplasia of the large intestine associated with calcific aortic stenosis is a well-known entity. Angiodysplasias are artero-venous malformations and they form one of the common causes of occult gastro-intestinal bleeding in the elderly. A 59-year-old man underwent aortic valve replacement for severe aortic regurgitation, developed severe gastro intestinal bleeding. Selective angiography was inconclusive. Exploratory laparotomy revealed angiodysplasia of the terminal ileum, which was resected. We report this case to draw attention to this rare cause of gastro intestinal bleeding and the difficulty in arriving at a diagnosis by the usual investigations.
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