Aortic Stenosis Case #8

An 81-year-old female with a history of severe, asymptomatic aortic valve stenosis presents with recurrent gastrointestinal bleeding. Upper and lower endoscopies have not been able to reveal the etiology. Capsule endoscopy revealed small intestinal angiodysplasias. Which of the following statements are true?

A. The gastrointestinal bleeding may resolve after aortic valve replacement

B. The Von Willebrand factor pentamer structure is getting damaged as it courses through the stenotic aortic valve increasing the bleeding risk

C. Heyde’s syndrome is present

D. All of the above