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Question:

aortic valve stenosis severe amemia hemoglobin 9.1 ?

Is there a relationship?

Answer:

From personal experience yes it can. My mothers hemoglobin dropped down to 8.0. The Dr said it was because of her stenosis in her aortic valve causing her to bleed in her abdomen. She had her heart surgery and it came back up, just like the Dr said it would.
I developed severe anemia when I was diagnosed with aortic stenosis. The Dr told me it was due to the damage the valve was causing my blood cells. He told me it also caused problems with my blood not clotting right and it would stop after my surgery. He was right and I haven't had problems since.
Aortic Stenosis And Anemia
I don't know of there being any relationship. The only thing would be if your aortic valve was damaging your blood cells, but I don't think that is the cause of your anemia. I wouldn't call 9.1 Severe. It would have to be below 8 before anyone should consider giving you blood. I work as a nurse in a hospital and have seen tons of Hemoglobin levels in the 7's and 8's. I've seen a few 5 and 6's. So don't get too worried about how low it is, just keep looking for the cause and treat it that way.
Yes it does cause severe anemia and it is a risk factor for the development of a gastrointestinal bleeding, but patients usually lack a source of active bleeding. The stenosis can cause acquired Von Willebrand Disease by breaking down coagulation factor 8.This can happen because of the sheer force of blood across a calcified aortic valve..The patient also developes angiodysplasia of the colon. It is a condition where the fragile blood vessels stretch which results in the severe anemia from the loss of blood . Patients can have recurrent GI bleeds.With the turbulent blood flow red blood cells are mechanically damaged. Patients require supplements of vitamin k prior to surgery. After surgery this problems resolves it self..What medications are you taking now? I just read the other responses to your question, 9.1 is low and will continue to decrease because of the AS,. Given the problems associated with AS it should not be ignored just because someone saw a lower value under different circumstances. Are you being assessed for surgery on your valve? Do you see a cardiologist regulary? Did you have a echocardiogram done recently?I hope they will continue to keep a close eye on it, take care, Donna

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