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2014 | 10 | 1 |

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Bowel Angiodysplasia and Myocardial Infarction secondary to an ischaemic imbalance: a case report


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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.








Physical description


1 - 1 - 2015
17 - 12 - 2015
25 - 10 - 2015
5 - 11 - 2015


  • Department of Translational Medical Sciences, University of Naples “Federico II”, Naples, Italy
  • Department of Clinical Medicine and Surgery, University of Naples “Federico II” Naples, Italy, Via Sergio Pansini, 80131 Naples, Italy
  • Department of Cardiac Surgery, IRCCS Policlinico San Donato Milanese, Milan, Italy
  • Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy
  • Pulmonary Hypertension Center, Thoraxclinic at the University of Heidelberg, Heidelberg, Germany
  • Centre Hospitalier de Luxembourg, Luxembourg Ville, Luxembourg
  • Centre Hospitalier intercommunal de Poissy, Saint-Germain-en-Laye, France
  • Unit of Hepatobiliary Surgery and Liver Transplant Center, Department of Gastroenterology and Transplantation, ”A. Cardarelli” Hospital, Naples, Italy
  • Department of Sport Sciences and Wellness, University of Naples “Parthenope”, Naples, Italy
  • Department of Public Health, University of Naples “Federico II”, Naples, Italy #Deceased. Paper written in memory


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