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Updated: Jul 2, 2026
04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
A wandering stent in the ascending aorta
Ahmad Ali Amirghofran1, Farah Peiravian, Mohammad Borzoee
1Division of Cardiac Surgery, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Journal of Cardiovascular Medicine (Hagerstown, Md.)
|August 13, 2008
Summary
A complex aortic coarctation case required surgical repair after a stent dislodged during a procedure. The aortic arch was successfully reconstructed using a Dacron patch.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Pediatric Cardiology
Background:
- A 15-year-old female with a history of long-segment coarctation of the aorta underwent previous patch aortoplasty and balloon angioplasty.
- Recurrent coarctation necessitated further intervention with planned balloon angioplasty and stent implantation.
Observation:
- Severe aortic coarctation (55 mmHg gradient) was identified, extending from the transverse to the descending aorta.
- During the procedure, the stent dislodged into the ascending aorta, proving unreclaimable via catheterization.
Findings:
- The dislodged stent was successfully retrieved from the ascending aorta in an operating room setting.
- Aortic arch reconstruction was performed from the innominate artery to the distal left subclavian artery using a Dacron patch.
Implications:
- This case highlights the potential complications of endovascular interventions for complex coarctation of the aorta.
- Surgical reconstruction remains a viable option for managing challenging aortic arch abnormalities and stent-related complications.
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