Bowel Angiodysplasia and Myocardial Infarction secondary to an ischaemic imbalance: a case report.pdf (80.06 kB)
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Bowel Angiodysplasia and Myocardial Infarction secondary to an ischaemic imbalance: a case report.

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posted on 22.10.2019, 11:25 by A Salzano, A Rocca, M Arcopinto, B Amato, AM Marra, V Simonelli, P Mozzillo, A Giuliani, D Tafuri, M Cinelli
Angiodysplasia, defined as a vascular ectasia or arteriovenous malformation, is the most frequent cause of occult bleeding in patients older than 60 years and a significant association with several cardiac condition is described. Patients with anemia and negative findings on upper endoscopy and colonoscopy should be referred for further investigation of the small bowel. The investigation of choice, when available, is wireless capsule endoscopy. Several therapeutic options are available in this cases, as we reviewed in this report. We report a case of 78-year old man admitted to our Intensive Coronary Unit for dyspnea and chest pain. A diagnosis of non-ST-segment elevation acute coronary syndrome was made and a concomintant, significant anemia was found (hemoglobin 8.2 g/dl). No cororary disease was found by an angiography though the past medical history revealed systemic hypertension, chronic kidney disease (KDOQY stage III), and diabetes mellitus type II on insuline therapy. A Wireless Video capsule examination was positive for jejunum angiodysplasia and an argon plasma coagulation was chosen as terapeutic option. No subsequent supportive therapy and interventions were required in subsequent one year of follow-up.

History

Citation

Open Medicine, 2015, 10 (1), pp. 543-548

Author affiliation

/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Cardiovascular Sciences

Version

VoR (Version of Record)

Published in

Open Medicine

Publisher

De Gruyter

issn

2391-5463

Acceptance date

05/11/2015

Copyright date

2015

Available date

22/10/2019

Publisher version

https://www.degruyter.com/view/j/med.2015.10.issue-1/med-2015-0092/med-2015-0092.xml

Language

en

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