BACKGROUND: The Heyde syndrome describes the coincidence of aortic valve 
stenosis and intestinal bleeding. The pathophysiologic link between both 
entities has remained unclear so far. In several studies the intestinal 
bleedings have been attributed to angiodysplasia. Cessations of the intestinal 
bleedings following replacement of the aortic valve have been described by 
numerous reports.
CASE REPORT: We describe the history of a 70-year-old man with a calcified 
aortic valve stenosis. In addition, he suffered from recurrent severe epistaxis 
over several years. Replacement of the aortic valve by bioprosthesis resulted in 
complete cessation of the nasal bleedings over a follow-up period of 6 years.
CONCLUSION: This case report suggests that aortic valve stenoses may be 
associated with extraintestinal bleedings as well.