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

• Authors: Andrea Salzano , Aldo Rocca , Michele Arcopinto , Bruno Amato , Alberto Maria Marra , Vincenzo Simonelli , Pasquale Mozzillo , Antonio Giuliani , Domenico Tafuri , Mariapia Cinelli
• Languages of publication: EN

Abstracts

EN

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.

Keywords

EN

Angiodisplasya; Miocardial Infarction; Ischemia; Bowel

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 10
• Issue: 1

Dates

published

1 - 1 - 2015

online

17 - 12 - 2015

received

25 - 10 - 2015

accepted

5 - 11 - 2015

Contributors

author

Andrea Salzano

• Department of Translational Medical Sciences, University of Naples “Federico II”, Naples, Italy

author

Aldo Rocca

• Department of Clinical Medicine and Surgery, University of Naples “Federico II” Naples, Italy, Via Sergio Pansini, 80131 Naples, Italy

author

Michele Arcopinto

• Department of Cardiac Surgery, IRCCS Policlinico San Donato Milanese, Milan, Italy

author

Bruno Amato

• Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy

author

Alberto Maria Marra

• Pulmonary Hypertension Center, Thoraxclinic at the University of Heidelberg, Heidelberg, Germany

author

Vincenzo Simonelli

• Centre Hospitalier de Luxembourg, Luxembourg Ville, Luxembourg

author

Pasquale Mozzillo

• Centre Hospitalier intercommunal de Poissy, Saint-Germain-en-Laye, France

author

Antonio Giuliani

• Unit of Hepatobiliary Surgery and Liver Transplant Center, Department of Gastroenterology and Transplantation, ”A. Cardarelli” Hospital, Naples, Italy

author

Domenico Tafuri

• Department of Sport Sciences and Wellness, University of Naples “Parthenope”, Naples, Italy

author

Mariapia Cinelli

• Department of Public Health, University of Naples “Federico II”, Naples, Italy #Deceased. Paper written in memory

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Identifiers

DOI

10.1515/med-2015-0092