Aortic rupture following a covered stent for coarctation: delayed recognition.

Primary stenting for aortic coarctation is frequently used in adult patients. Aortic rupture remains an infrequent complication. A number of strategies, including the use of covered stents, have been proposed to reduce the risk of this catastrophic complication. We describe a 51-year-old female who underwent stenting of aortic coarctation using a covered stent, which was complicated by aortic rupture. Treatment consisted of placement of an additional covered stent to seal the site of aortic disruption. The prevention and management of aortic rupture complicating aortic coarctation stenting are discussed.