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Cardiovascular Medicine
Volume 17
Issue 1
10.4414/cvm.2014.00202
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Cardiovascular Medicine is published by MDPI from Volume 28 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Editores Medicorum Helveticorum (EMH).
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Case Report

To Do or Not to Do? Changing Paradigms: Value of Balloon-Sizing and Left Atrial Appendage Occlusion

by
Adrian Attinger-Toller
1,
Philipp K. Haager
2,
Hans Rickli
2,
Thomas F. Lüscher
1,
Ulf Landmesser
1 and
Fabian Nietlispach
1,*
1
University Heart Center, Department of Cardiology, University Hospital Zurich, CH-8091 Zurich, Switzerland
2
Division of Cardiology, Kantonsspital St. Gallen, St. Gallen, Switzerland
*
Author to whom correspondence should be addressed.
Cardiovasc. Med. 2014, 17(1), 21; https://doi.org/10.4414/cvm.2014.00202
Submission received: 22 October 2013 / Revised: 22 November 2013 / Accepted: 22 December 2013 / Published: 22 January 2014
Versions Notes

Abstract

Balloon-sizing of the aortic annulus can be considered the “gold-standard” for annulus-assessment for transcatheter aortic valve implantation (TAVI) – comparable to intraoperative surgical sizing tools. We report a case of an 83 year-old patient referred for TAVI, where CT-angiogram measurements might have prevented us from performing TAVI and balloon-sizing allowed us to proceed with an excellent final result. Since patients with concomitant atrial fibrillation undergoing TAVI are known to have worse short- and long-term outcomes, left atrial appendage occlusion (LAAO) at the same sitting was successfully performed, to obviate the need for oral anticoagulation. Combining procedures (e.g. TAVI and LAAO) is technically feasible, patient- friendly and should be encouraged where reasonable, despite contrary financial incentives by our health care system.
Keywords: aortic stenosis; TAVI; balloon-sizing; LAA-Occlusion; atrial fibrillation aortic stenosis; TAVI; balloon-sizing; LAA-Occlusion; atrial fibrillation

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MDPI and ACS Style

Attinger-Toller, A.; Haager, P.K.; Rickli, H.; Lüscher, T.F.; Landmesser, U.; Nietlispach, F. To Do or Not to Do? Changing Paradigms: Value of Balloon-Sizing and Left Atrial Appendage Occlusion. Cardiovasc. Med. 2014, 17, 21. https://doi.org/10.4414/cvm.2014.00202

AMA Style

Attinger-Toller A, Haager PK, Rickli H, Lüscher TF, Landmesser U, Nietlispach F. To Do or Not to Do? Changing Paradigms: Value of Balloon-Sizing and Left Atrial Appendage Occlusion. Cardiovascular Medicine. 2014; 17(1):21. https://doi.org/10.4414/cvm.2014.00202

Chicago/Turabian Style

Attinger-Toller, Adrian, Philipp K. Haager, Hans Rickli, Thomas F. Lüscher, Ulf Landmesser, and Fabian Nietlispach. 2014. "To Do or Not to Do? Changing Paradigms: Value of Balloon-Sizing and Left Atrial Appendage Occlusion" Cardiovascular Medicine 17, no. 1: 21. https://doi.org/10.4414/cvm.2014.00202

APA Style

Attinger-Toller, A., Haager, P. K., Rickli, H., Lüscher, T. F., Landmesser, U., & Nietlispach, F. (2014). To Do or Not to Do? Changing Paradigms: Value of Balloon-Sizing and Left Atrial Appendage Occlusion. Cardiovascular Medicine, 17(1), 21. https://doi.org/10.4414/cvm.2014.00202

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