Delayed Displacement of Aortic Coarctation Stent.

W e 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