Case Presentation: 85 year old female was admitted on account of lethargy and decreased oral intake for the previous week, and evidence of anemia. She had undergone a transcatheter aortic valve replacement(TAVR) 5 months prior for her management of her severe aortic valve stenosis. Additionally, she suffered from recurrent gastrointestinal bleeding due to arteriovenous malformations, [...]

Case Presentation: An 80-year-old man with a past medical history of chronic lymphocytic leukemia, coronary artery disease, diabetic chronic kidney disease and heart failure reduced ejection fractionwith two months of intermittent hematochezia. Since onset of symptoms, the patient had required nine transfusions. His admission exam was remarkable for jugular venous distension, trace ankle edema, a [...]

Case Presentation: A 76 year-old male with a history of diverticulitis, T2DM, HTN, persistent atrial fibrillation and compensated alcoholic cirrhosis presented for recurrent gastrointestinal bleeding (GIB). He initially presented to an outside hospital six months prior for shortness of breath and found to be anemic requiring 4 units of packed red blood cells (PRBCs). Since [...]

Case Presentation: Our patient is a 66-year-old female who was admitted for shortness of breath and generalized weakness. She was severely anemic with hemoglobin of 6.5. Her EGD did not show any obvious evidence of bleeding. Colonoscopy in the past showed a large inflammatory mass consistent with ischemic colitis. Follow-up colonoscopy showed completely healed mucosa. [...]

Case Presentation: Heyde syndrome is a rare multisystem disorder characterized by the triad of aortic stenosis (AS), gastrointestinal bleeding, and acquired von Willebrand syndrome (AVWS). The pathophysiology of AVWS in Heyde syndrome is thought to be due to the increased circulatory shear forces resulting from AS, leading to cleavage of large VWF multimers and loss [...]

Case Presentation: An 84-year-old woman with a history of hypertension and aortic stenosis (AS) presented with progressive dyspnea on exertion and melanotic stools for one week. The patient was admitted twice recently for similar reasons. Physical exam was remarkable for pallor and a grade 4/5 systolic murmur at the cardiac base with radiation to the [...]

Case Presentation: A 75-year-old male with a history of gastrointestinal bleeding (GIB) due to angiodysplasia, aortic stenosis (AS) status post TAVR, moderate-severe mitral regurgitation (MR), CKD, GERD, and atrial fibrillation not on anticoagulation presented due to lightheadedness for 1 day when standing up, and fatigue for a few weeks. He also reported dark brown stools [...]