More on Aortic Stenosis and Gastrointestinal Bleeding

To the Editor: The letter by Love et al. in the April 24 issue of the Journal suggested that replacement of the aortic valve because of calcific aortic stenosis may stop associated gastrointestinal bleeding. This may prove to be a valid suggestion, but we urge caution in its application. In a patient with calcific aortic stenosis and bleeding from gastric angiodysplasia, reported by Weaver et al., 1 gastric lesions recurred or remained nine months after replacement of the aortic valve by a porcine xenograft; bleeding had not been present from the time when the lesions were treated with endoscopic coagulation, three . . . No extract is available for articles shorter than 400 words.