Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 16, Number 1, January 2025, pages 17-22

Gastric Antral Vascular Ectasia Syndrome With Aortic Stenosis: A Twist on Heyde Syndrome?

Figures

↓  Figure 1. An endoscopic image showing gastric antral vascular ectasia in the gastric antrum with spontaneous bleeding (black arrow) requiring argon plasma coagulation (green arrow).
Figure 1.
↓  Figure 2. (a, b) Endoscopic images showing moderate nodular gastric antral vascular ectasia without bleeding (black arrow). (c, d) GAVE status post argon plasma coagulation (green arrow). GAVE: gastric antral vascular ectasia.
Figure 2.

Table

↓  Table 1. Pertinent Admission Laboratory Results for Cases 1 and 2
 
Laboratory test Case 1 Case 2 Reference value
eGFR: estimated glomerular filtration rate; N/A: not applicable/available.
Sodium 140 140 135 - 145 mEq/L
Potassium 4.3 4.6 3.5 - 5.0 mEq/L
Blood urea nitrogen 45 53 7 - 23 mg/dL
Creatinine 1.96 6.55 0.60 - 1.30 mg/dL
eGFR 25 8 ≥ 60 mL/min/1.73 m2
White blood cell count 8.2 2.7 4.5 - 11.0 × 103/mm3
Hemoglobin level 5.7 7.4 12.0 - 16.0 g/dL
Mean corpuscular volume (MCV) 82.7 118.1 80.0 - 100.0 fL
Platelet count 264 104 140 - 440 × 103/mm3
Hemoglobin A1c 8.3 N/A 4.0-6.0%
Iron level 25 237 50 - 212 µg/dL
Total iron binding capacity 413 261 250 - 450 µg/dL
Iron saturation 6.0 91 15-50%
Ferritin 9.0 528.0 16.4 - 294.0 ng/mL
Transferrin 277 175 201 - 355 mg/dL
Folate > 24 > 22.3 ≥ 4.1
Vitamin B12 446 698 211 - 911 pg/mL