Evidence map›Paper›PMID 41128693›Full record

ArticleJACC. Case reports2025

Aortic Bioprosthetic Stenosis Leading to Heyde Syndrome.

Ahad Firoz, Justin Devera, Matthew Lam, Yves-Paul Nakache

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ahad FirozDepartment of Internal Medicine, University of California-Davis Medical Center, Sacramento, California, USA. Electronic address: aafiroz@ucdavis.edu.
Justin DeveraDivision of Cardiovascular Medicine, Section of Internal Medicine, University of California-Davis Medical Center, Sacramento, California, USA.
Matthew LamDivision of Cardiovascular Medicine, Sacramento Veterans Affairs Medical Center, Mather, California, USA.
Yves-Paul NakacheDepartment of Hospital Medicine, Sacramento Veterans Affairs Medical Center, Mather, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeyde syndrome (HS) is the constellation of aortic stenosis and gastrointestinal bleeding due to arteriovenous malformation (AVM). CASE SUMMARY: A 74-year old man presented with angina, dyspnea, and fatigue. His work-up was pertinent for significant anemia, severe bioprosthetic aortic stenosis, and a duodenal AVM. The patient required blood transfusions and AVM clipping. He was diagnosed with bioprosthetic HS and referred to the cardiology team for transcatheter aortic valve replacement consideration. DISCUSSION: Reports of bioprosthetic HS are scarce in the literature. This case report describes the investigation and management of HS amid recurrent anemic episodes and diagnostic uncertainty. TAKE-HOME MESSAGES: Recurrent episodes of idiopathic anemia in patients with a prosthetic valve should raise concern for HS. Clinicians with a high suspicion of HS and negative esophagogastroduodenoscopy/colonoscopy should pursue capsule endoscopy or push enteroscopy to fully assess the small bowel. A normal von Willebrand factor in isolation should not rule out HS.

Indexed as

aortic valvecardiovascular diseaseechocardiographyhemorrhagemurmurphysical examinationstenosisvalve repairvalve replacement

Identifiers

PMID41128693
PMCPMC12861668

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.