Author + information
- Received January 27, 2016
- Accepted February 11, 2016
- Published online June 13, 2016.
- Taner Seker, MD∗ (, )
- Armagan Acele, MD,
- Mustafa Topuz, MD and
- Yucel Colkesen, MD
- ↵∗Reprint requests and correspondence:
Dr. Taner Seker, Department of Cardiology, Numune Hospital, Adana 01170, Cukurova, Turkey.
We describe a case of post-operative displacement of an aortic coarctation (CoA) stent, which was determined 6 months after deployment. A 21-year-old woman with history of surgery for CoA in early childhood presented with fatigue and shortness of breath. Cardiac catheterization and aortography showed a recurrence of CoA. An 18 × 42-mm Sinus-XL (Optimed XL, Ettlingen, Germany) self-expandable stent was implanted at the narrowing segment with a good outcome (Figures 1A and 1B). The patient was asymptomatic at the 1-month follow-up. Six months later, she became symptomatic, and continuous Doppler echocardiography showed a peak systolic gradient of 70 mm Hg in the aorta. Repeat aortography showed migration of the stent distally from its normal position (Figure 1C). We deployed a new self-expandable stent at the CoA site and performed balloon angioplasty for complete sealing to the wall (Figure 1D). A stent with an antimigration design may be preferred to prevent displacement. If self-expandable stents are used for CoA, post-dilation must be performed with adequate balloon angioplasty. To our knowledge, this is the first report of late slippage of a self-expandable stent after successful deployment in a patient with CoA recurrence.
The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received January 27, 2016.
- Accepted February 11, 2016.
- American College of Cardiology Foundation