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This letter is in response to the article by Batur et al, "Increased Prevalence of Aortic Stenosis in Patients With Arteriovenous Malformations of the Gastrointestinal Tract in Heyde Syndrome," that appeared in the August 11/25, 2003, issue.¹ I would like to congratulate Drs Batur, Stewart, and Isaacson for showing a relationship between aortic stenosis and arteriovenous malformations (AVMs) of the gastrointestinal tract. The large number of patients in their retrospective review and their use of objective data from endoscopy, angiography, and echocardiography should make their conclusion convincing. However, I strongly object to describing it as the "Heyde syndrome." In a 1-paragraph Letter to the Editor in the New England Journal of Medicine in 1958, Heyde² noted that he had seen 10 patients in the previous 10 years with calcific aortic stenosis who had gastrointestinal bleeding for which he could discover no cause. Nowhere did he describe the bleeding to be . . . [Full Text of this Article]

B. H. Gerald Rogers, MD
Chicago, Ill

RELATED ARTICLE

Increased Prevalence of Aortic Stenosis in Patients With Arteriovenous Malformations of the Gastrointestinal Tract in Heyde Syndrome
Pelin Batur, William J. Stewart, and J. Harry Isaacson
Arch Intern Med. 2003;163(15):1821-1824.
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